My father, at 89, was in fantastic physical shape. The only operation he ever had was a cataract operation when he was 86. He fell down in front of the house because there is a platform that had been recently built as a wheelchair ramp for my mother. He actually got right up. He had fallen down many times over the years, without any broken bones, and gets right up. His neighbor, Marcus, is a caring individual with whom he has a warm relationship, and he's a Transit Cop. Marcus was worried about my dad being injured so he called an ambulance just to be sure Dad was ok. My sister came out from Manhattan to Long Island Jewish to wait with him in the emergency room for X-rays to make sure he was ok. He stayed for tests at LIJ for a week or so and he was ok.
After being at LIJ, it was recommended he go to Rehab. There was not really much wrong with him, and he had recently been diagnosed by his neurologist, Dr. Anthony ** in Lake Success, NY, with only a mild age-related dementia, normal for his age. His mental faculties were quite good for his age, and physically he is unusually healthy. He was on Aricept to keep this diagnosed age-related dementia at a minimum. It seemed to help right away (he'd been on it a year or so). Anyway, my father was, at the hospital's urging, placed in Grace Plaza for "Rehab." The doctor there insisted on going against the instructions we had from Dr. Anthony **, his neurologist, and my father's GP, Dr. Robert **, also in Lake Success New York, near New Hyde Park. At Grace Plaza, Dr. ** "caring" for him.
Dr. ** put him on Welbutrin, because we'd suggested that since before he fell he'd been sleeping a lot and was somewhat depressed since my mother passed away, and he'd been on a low dose of Zoloft which didn't seem to be helping any more. Anyway, Dr. ** took him off his Aricept against our wishes and the wishes of his doctors and put him on Hhuge doses of welbutrin. I know Welbutrin because I have taken it, and 150 mg. is not a starting dose for a 140-lb., 5/8" man of almost 90. (I am a 170-lb woman, 5'9", 56 years old, and after 12 years I was only taking 100 mg. of it.) My father got very, very bad, so bad he did not recognize anyone, so he coudn't even pick up a fork and lift it to his mouth. My father had been playing cards with the neighbors, but now he couldn't even recognize them. Dr. ** insisted this was normal, and would hush us when we said, "No you do not understand, our father is in very very good health, and almost perfect mental health, especially for his age, and there wasn't anything wrong with him when he got here, except for having been on bed rest in LIJ for a week."
I begged Dr. ** to take him off such a high dose of Welbutrin. My father did a lot of strange things: he was exposing himself to the nurses (my father is a very proper and dignified person who would be so embarrassed if he knew this) and was unable to sleep, and worst of all he'd developed all kinds of nervous movements and tics, and shook so badly he couldn't hold a spoon. He was in diapers; we'd never heard of such a thing for my father! Repeatedly, I begged Dr. ** to follow the instructions of the doctors who knew him (Dr. ** was his and my mother's GP for about 20 years), but Dr. ** out and out acted indignant that we weren't cooperating and refused.
He also refused to give my father his Aricept, which we saw did my dad a lot of good immediately when he began it, but Dr. ** said wasn't useful and he didn't believe in it. We knew it helped him; we saw it with our own eyes! Worst of all, my father couldn't barely do anything. He was an outstanding golfer; he was now unable to throw a giant Pilates ball across the room. It was so sad. Finally we got him out of there. He was in diapers (no reason for this) and couldn't hold a fork to his own mouth. Could not say more than one coherent sentence. Next day after he's released I took him to Dr.**, the neurologist. Dr. ** is shocked, they put him on Welbutrin, and especially such an inappropriately high dose! He said, all these problems could be because of the Welbutrin!
I was stunned. Dr. ** put him back on the Aricept right away and over the course of the following months, gently weaned him off the Welbutrin. My dad got better, but the Welbutrin left him with a permanent tremor, in diapers, and much worse than he was when he went in. I would say his dementia went from 10% to 90% and back down to 50% or 60%, but he never really recovered. He has not walked since, and uses a hospital bed in the living room. I am upset about this, and believe it was the fault of Grace Plaza. Everyone knew there was something creepy about Dr.** and was trying to leave. Saddest of all were the lovely PT people, who felt they were helping, but there was really no need to, because the patients were only this bad because of mistreatment by this creepy doctor and nursing home.
The whole thing was like a scene out of a horror movie. One lovely older woman whose husband as there was in tears every evening when she left him there; she hated abandoning him to this creepy place where they did what they felt like and did not listen to the recommendations of the doctors and people who knew the patients.
