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I live with and care for my 84 year old mother. Life hasn't been easy for mom the past 10 years. Her health declined rapidly over the course of 2 years from a very persistent C. Diff infection combined with her "normal" atrial fibrillation, and she was in the hospital for a month (after nearly dying from the infection). That was her second or third C. Diff fight, as well.



Dad died 13 years ago, and she battles depression from that event, as well as anxiety and worry over her kids and grandkids' problems. The recent storms in the South did a lot of damage to some close relatives' home (and these cousins are also battling health issues). Mom's really emotionally fragile at the moment.



Well, my sister just texted me to tell me she got her very own C. Diff infection from antibiotics taken after a dental procedure. We are trying to decide whether or not to tell mom. Mom will definitely be upset if she finds out we kept it from her, but I don't know if now is the time to let her know.



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I would refrain from telling her. I pray with everything I have that your sister will overcome this too. There are much better drugs and technologies that can treat this. It’s still ugly, but it can be fought.

I made the mistake of telling my mother (or reminding her really) that my husband tested for diabetes It upset her a lot. My husband will be ok and we can treat or even reverse this diagnosis, but Mom was all over with emotion. If you are a family of worriers like mine, don’t tell her. Then when she is all better and through it you can all breathe a sigh of relief.
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There is no reason to add a worry to a person who is already emotionally fragile. At this point your sister is not in a critical state, so leave it be. If sis does get sicker or ends up in the hospital, the situation may change to where you have to tell mom sis is sick. For now, don't add to her worries.
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Mom's really emotionally fragile at the moment. Repeat that 3 times please.

Your mom, you, your family, I'm sorry to hear, have been experiencing waves of hurtful illnesses, deaths and destruction.

If you can think of a single way she can benefit from learning about more heartache have at it.
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I used to be all for 100% honesty. But, I have also come to value the saying "silence is golden" 😶

My DH has shown me that sometimes a little minimising ie "watering down' or delay is necessary. For kindness. (He calls it anxiety minimising strategy).

Just as Barb & Llama said, the happy ending approach. No "there was a great flood!" until "There was a great flood but everyone was saved!". Or even "There was a great flood, the people were so brave, nearly everyone was saved. They are rebuilding".

Like a news reporter, it's all in the delivery
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MicheleDL Mar 2022
In truth :) no one but no one has ever been 100% honest. Never.

No one tells a mother of an ugly new born that the apple of their "lovin' mama's eyes" looks like a toad. No one tells a bride on her wedding day that she really missed the mark with her hair and dress.
How about when we visit a person we care for during a great illness. Do we say that they look like heck? No we lie. And we act, and make sure that they even read it in our eyes and body language that we see them as they've alway meant to us.

We're all liars. For love and compassion's sake we are big fat liars. I hope.
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dmaness70: Imho, you'd have to ask yourself if your mother needs to know this new health information about your sister. So your mother will be anxious if you tell her and angry if you don't. Another thought process is that perhaps your sister will recover soon. There may be no real need to inform your mother.
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When my mom reached the age of 88 and became quite anxious about everything, I told my brothers that our rule of thumb should be not to tell mom any "story" that didn't have a happy ending.

We no longer said "grandchild is being tested for...", or "In two weeks, sibling is going to have surgery for...".

We told her happy endings only.
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It depends on how bad your sister's infection is and your mother's attitude to C. Diff. If sis is doing well at home or the hospital, then mom only needs to know that sister has an infection that requires strong/IV antibiotics - and probably no more. If sister is on edge of dying, mom needs to see her and will probably learn that sister has C. Diff.
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Tell her, but encourage her to keep it in perspective.

#1 - here your mother is to tell the tale. C diff, I survived!
#2 - your sister is a lot younger and probably has more stored nutrients to spare while she fights the infection off.
#3 - C diff is an opportunistic infection that sneaks in when your poor little gut is at a low ebb (e.g. when you're ill, or taking antibiotics alas). So it's not so much dangerous in itself, it's the malnourishment it causes that's the hazard, and is much less of a problem when you're otherwise reasonably fit and with a decent appetite.

So begin your account with "this is bad news, I'm afraid, but you know better than anyone how to manage it..." and then suggest she calls your sister and gets reassurance from her. [Agree the plan with your sister first!]

PS - it's worth passing on to your sister as well as anyone else who needs to know: Cdiff is resistant to hand gels and related sanitizers. Soap and water are needed at all of the routine infection control points.
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LakeErie Mar 2022
This is terrible advice.
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I wouldn’t tell her, no good would come from it. Additionally I’d tell family to stop letting her know their problems. She’s prone to anxiety and depression and doesn’t need negative info piled on her. Has her doctor looked at a med to help the anxiety and depression. Zoloft did a great job with my dad
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I would not tell her unless your sister is getting extremely sick and failing. No reason to worry your mom until there is a reason.
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What possible good can come from telling her? Leave well enough alone. You both have enough to deal with. Why add to the pile?
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Why does your mother need to know? Does your sister live somewhere else so she is not visiting your mother right now? If your sister's treatment is goes well and she recovers at home, there does not seem any point in worrying your mother. A lot of sharing can be kept to a "need to know" basis.
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Why tell her if it will upset her? What can she do to change it? What is the value in telling her? Cdiff is different in severity for everyone and can be treated and for some, cleared up in a short time. This may clear up quickly. Just my opinion, but I’d wait and see how your sister does with treatment. It is VERY contagious so keep mom away for a while and everyone WASH hands and sanitize bathrooms and door knobs with bleach wipes
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My aunt 93 suffers greatly emotionally when someone shares bad news about family members. She doesn't sleep and quits eating. She has major anxiety and frets over everything. She also has advanced dementia.

I have recently had a mini stroke but found some serious cardiac issues while in the hospital. I refuse to tell her anything until all procedures are over and I am well. I am one of her several caregivers. Its not worth upsetting her.
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C diff can be a big deal as you know. Its very contagious. I would say if your sister reacts well to meds, no need to mention it to your mom. Also, mine was caused by doing a “cleanse” that stripped the flora from my gut. Also, it’s important not to take any anti diarrhea as this traps the infection. At least that was my situation if that helps.

My mother grew up in WW2, also worries about things and is very upset now with world events. I encourage her by putting on a fun TV show and saying time to get her mind off the news for awhile.
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I wouldn’t. How would it benefit Mom in any way? Would just upset and worry her.
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My mom gets anxious over challenges her children or grandchildren are going through too. We don’t lie to her but we do often omit things or just not mention at all if we can get away with it, telling her after the fact. When my son got COVID around Christmas we just didn’t say anything since we weren’t getting together anyway and I have never told her about it because it was a fairly mild case and all recovered, why make her worry. My brothers kids and wife got it earlier on and she was torn up about it for weeks. I have had some medical issues lately and while I tell her I’m not feeling great or that I am having surgery I minimize some of what I’m going through so she doesn’t fret. I can do this because I don’t live close by and only see her via the Show so I can generally “showtime” for her.

My point being that if I were in your situation with my mom I would probably let her know sister isn’t feeling well and probably has the flu they aren’t sure but they know it’s not COVID, something like that so sister can lay low recovering and Mom isn’t stressed that she isn’t hearing from her or something. Unless of course your sisters condition gets to the point of hospitalization in which case reevaluate, I might tell mom she is in the hospital where they can better treat her but not that they know it’s C-diff since that holds a particular fear for her until and unless you absolutely have to. C-diff doesn’t always require a hospital stay, in fact it usually doesn’t we just hear more about those cases for obvious reasons so don’t get overly worried yourself either, your mom will likely pick up on that as well. Hope your sister is better soon (tell her to eat fermented foods) and you and your mom don’t suffer too much from Moms anxiety over it.
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How often does Mum see your sister?

Can you just let her know that she is unwell without going into details?
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In answer to your question: I would avoid letting mom know, if possible. If sis will make a full recovery, why drag up horrible feelings for Mom? And I say this as someone who is pretty blunt and "tough love" in general. But the worry about health gets so extreme as people get older, I've learned to not spell things out unless they are absolutely necessary. I think, from your post, you already know she's too fragile right now to hear this, even though your sister will be fine.
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You don’t get c. diff from antibiotics. It’s what’s left around when antibiotics can’t clear it.

Years back, I discovered I had a latent infection called MRSA. I told my sister who is a doc, and she said I was still clear to see my parents. In this situation, check with your doc to make sure you are not actively contagious. If you’re not, I wouldn’t bring it up to mom.
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AlvaDeer Mar 2022
You often get C-diff from TAKING antibiotics. The antibiotics wipe out the bacteria in the gut. Unfortunately they wipe out the GOOD bacteria as well as the bad, and despite their good "reputation" there are not many ways to replace them. That is because probiotics are often destroyed by acids before they ever make it into the gut, as well as other mechanical issues. The most common cause of C-diff is the taking of drugs that kill the good and the bad bacteria. That means antibiotics. The drugs given for cancers, as well as a chemo-compromised gut also is a danger.
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Are you familiar with fecal transplant. You can google it. Much research in about 5 years ago showed it to be instantly effective against C-diff. Unfortunately the combination of "the thought of it all" and one or two incidents of transfer of problems one person to another almost stopped it. There are still some gastroenterologists who are doing this; being SF and a place where there are many auto-immune problems, there are many who actually now have done this in a do-it-yourself manner.
I have seen MANY deaths from C-diff and people underestimate the number. Usually listed as complication of auto-immune or complications of cancer treatment, or whatever, it is missed that this is DEADLY. We are not talking diarrhea here, but rather explosive propulsive emptying of the body continuously, and inability to hold any nutrition, and wasting of the body.
There is no reason not to tell Mom Sister is dealing with this. Hopefully she will be one of those cured by medications. This is like any disease; would you withhold information about most diseases? Only you know Mom, her reactions to things, her worry and etc. You are the best judge of telling, or when to tell. Trust your own instincts.
I will tell you frankly, if sister isn't helped by the more comment "treatments", you need to explore fecal transplant. Research it online.
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Katefalc Mar 2022
Fecal transplant is done as a last resort. My aunt had it done in the hospital and she died anyway due to the organs shutting down from the prolonged loss of nutrients. Most cases of cdiff can be treated with medication at home.
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