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Elderly parents

Tell me what to say to a consultant who has wrongly diagnosed my dad

38 replies

Borntorunfast · 24/09/2024 15:25

I've got a meeting with the discharge team and consultant tomorrow. Dad was sectioned 2 weeks ago. He went in with a working diagnosis of degenerative cognitive decline caused by Alzheimer's and has been on anti-psychotics. The meds are working, but because he's now calm and compliant the Consultant - who says she can only diagnose on the basis of "what's in front of her eyes" (her words) - proposes to discharge him with a diagnosis of anxiety and depression.

This is harmful as it means he wont take the meds as soon as he's out (he disputes there's anything wrong with him, and has a history of refusing to take them).

It's also harmful to my mum, as when she then has to call for help (ie when he stops taking the meds), no one will prioritise her as he 'just' has depression. Rather than the Alzeihmer's with psychosis.

Consultant has point blank refused to take into account previous medical history, testimony of other colleagues who assessed him while he was having his crisis, or any testimony from the family.

Dad can put on a good show. He 'presents' well. It has been a long, long battle to get anyone to take us seriously and now this consultant will set us back to square one if her diagnosis stands.

I have a meeting with SIX doctors tomorrow apparently and fear they will bully me into accepting their diagnosis and allowing him home.

Where he will terrorise my mother, who was having panic attacks due to his abusive behaviour.

How can I get this consultant to change her mind? To listen? To consider the evidence we have that all is NOT well, and he's not the nice cute man he appears to be because he's currently drugged up to the eyeballs? That a diagnosis based only on 'what she can see' is batshit?

I'm so worried about the meeting, it's so intimidating having to be sat there in front of a hostile, interview-style panel. I don't stand a chance, do I?

OP posts:
Notdeckingthehalls · 24/09/2024 16:02

I would ask will he be discahrged with his antipsychotic medication. If yes then why are they prescribing it if he doesn’t have psychosis. And if no, then tell them
your Mum is not willing to have him home until he has been weaned of them.

NewtonsCradle · 24/09/2024 15:57

"What safeguards are in place for my elderly and vulnerable mother if or when her husband stops taking his antipsychotic medication? Based on his previous behaviour, which caused him to be sectioned, I would like it to be on the record that I have serious concerns about my mother's and my father's safety going forward."

Mumofoneandone · 24/09/2024 15:57

Take in someone to support you.
Make clear notes referencing the facts - medical history, his behaviour when he's home, refusal to take medication etc and stick to those. Seek second opinions - not sure how the working diagnosis can be reduced to 'depression'! Really doesn't make sense.
Try not to get emotional (really hard I know).
Have the medics done a home visit to check the environment is suitable for him to return to?
Would your Mum be able to come and stay with you/seek a separation, so that she your dad can't be released back into her care?
Maybe able to seek safeguarding support, as your mum could be classified as a vulnerable adult due to her husband's behaviour.

Shakethedisease · 24/09/2024 15:53

When was his Alzeihmer's diagnosed and by whom? I would be referring back to that. Has he had an M R I? Memory test? Been seen by the dementia team? If not ask for those things to happen as they confirm the diagnosis.

Berthatydfil · 24/09/2024 15:47

Can you say it is an unsafe discharge as your mother will not be accepting him back home without support as she is frail and elderly herself and needs safeguarding,

Lovelysummerdays · 24/09/2024 15:45

helpfulperson · 24/09/2024 15:40

I would help your mother to say she is no longer willing/able to look after him and help her move out.

This tbh. I think often sending them home to family is the cheapest. Fastest way of freeing up a bed. There’s not a lot of thought and consideration given to family as they aren’t the patient.

helpfulperson · 24/09/2024 15:40

I would help your mother to say she is no longer willing/able to look after him and help her move out.

Harvestfestivalknickers · 24/09/2024 15:40

It sounds like they want to discharge your Dad because there is nothing more they can medically do for him. Quite rightly you are worried about him not taking his medication. Do you think a care home would be appropriate where his meds would administered? What does your Mum want?

SpeedwellBlue · 24/09/2024 15:38

Sympathies as elderly care can be a nightmare.

DadJoke · 24/09/2024 15:38

Go back to the GP and ask for a new referral for a second opinion. The chance of two consultants being wrong is slim.

Have they done a cognitive assessment?

SpeedwellBlue · 24/09/2024 15:32

Could you start looking at care homes if he's abusing your mum?. That way they can keep meds under control and your mum can just visit?

anyoneforcustard1 · 24/09/2024 15:29

This reply has been deleted

This has been deleted by MNHQ for breaking our Talk Guidelines - previously banned poster.

AddictedtoCrunchies · 24/09/2024 15:28

I have no advice except can you take someone with you? A trusted friend or relative who can take notes and give you prompts. Who can encourage you to not give up/in?

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