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With great humility, I am asking for your support to help me to continue to live in my home for as long as possible. My life has drastically changed recently; my muscular dystrophy has progressed to the point of becoming ventilator dependent and losing my ability to do many things on my own. In order to return home from the hospital, I will need caregivers 24 hours a day, 7 days a week. I have found a wonderful team to hire, but it will cost me a lot of money out of pocket to pay for this until I can hopefully qualify for assistance in the future. I’m asking for any help possible to ease this burden a little bit. For more information, please read about my story in the updates. Thank you so much for your consideration!
Family and friends of Melissa Niles are raising money for the nonprofit Help Hope Live to fund uninsured medical expenses associated with a Catastrophic Illness. Melissa has chosen to fundraise with Help Hope Live in part because donations are tax deductible for contributors and will only be used to cover medical and related expenses.
I’ve been home for nearly a week adjusting to the new life here with 24 hour caregivers and learning new routine for everything. I’ve hired a wonderful team of 7 ladies who I am getting to know and becoming confident in. They help me with all activities of daily living plus Trache and Ventilator care. We are all learning this together. We’ve had a few scary episodes but for the most part this transition home has gone smoothly. I also get Home Health care coming in almost daily to check vitals and trache health plus PT and OT will come for a while to help continue to maintain my strength and function and see if we can modify anything to make something easier. This is a whole new life for me but I’m also enjoying the freedom to go outside when I want and just be at peace in my home. Quality of life looks different for everyone but for me being home and cooking meals and visiting with friends is my quality of life. My hope is to continue being healthy and successful in my own home with the help I need for as long as I can! Please know your help so far is much appreciated as I navigate this new journey!
Today I went back to my home with a Nurse and Occupational Therapist from hospital for a visit. We practiced each transfer to be sure all was safe in my environment. A couple of my hired caregivers joined us there to practice as well so we all can be confident in my return home. It was emotional to see my home again after so long. It felt new again. We didn’t get to stay long but it was so nice to be among my things again. The trip gave me a little anxiety, being outside the hospital grounds on a portable ventilator for the first time in 6 months, but all went well. Now we plan for discharge.
I hope to be going home the week of Memorial Day. Looks like I’ll be here for one more holiday but hopefully home by June! I’m having my bedroom floor redone, replacing carpet with a vinyl floor to make transfers safer. Also my equipment will be on wheels so will be easier to move things around on a hard floor. Once the flooring is done, the plan is to do a home visit with hospital physical and occupational therapists and a nurse to be sure my environment will work safely for transfers and toileting and showering. I have no doubt it will all work fine in my home with a caregiver since I have worked hard over the years adding necessary equipment. So I don’t have a discharge date yet as I’m waiting for a few final pieces to get done. I’m patiently waiting and also a bit overwhelmed by the transition home. I’m trusting it will all go smoothly in the right timing.
This is my story.
I’ve been living with a rare type of Muscular Dystrophy for my entire life. MD is a genetic disorder that progressively weakens all skeletal muscles, including breathing muscles for me. In spite of this, I have lived a wonderful life, full of ups and downs and plenty of losses along the way. Through it all I find joy in the simple things.
In my past, I worked as a Business Analyst for 15 years and found it to be both rewarding and challenging. I was married for 12 years and enjoyed having a partner in life with all the adventures that came with it, but have been divorced and on my own for 11 years. Nowadays, I love getting a cup of coffee with a friend and having long conversations about life, especially outside on a sunny day. In the summer, I frequent the Farmers Market, enjoying the fresh air, shopping, and visiting with the vendors. I like to host small gatherings in my home with friends and family. I am a Christ follower and used to lead Bible studies in my home. I love meeting new people and learning their stories. I have a passion for cooking, baking and gardening. And of course I like to binge watch good shows from time to time.
Over the past decade I have added several types of assistive devices to my life in order to continue with my daily activities and live independently in my home. I have worked hard at figuring out how to adapt when my abilities change. Unfortunately, there are few adaptations to difficulty breathing and in recent years I could feel my breathing become more and more challenging for me.
In November 2024, my health took a decisive turn. I couldn’t seem to take deep enough breaths to sustain healthy oxygen levels in my blood necessary to function. I was admitted to the hospital on November 30th and after about a week of observations and tests, I was advised that my only options were to continue the difficult, shallow breathing thus risking emergency respiratory failure or to choose a tracheostomy procedure and be hooked to a ventilator. Just as I was turning 50 years old, my respiratory muscles had reached a tipping point and I had to make a choice for my future.
There are no words to describe what goes into a decision like this; choosing between a lifetime of needing help, dependent on a machine versus possibly no life at all. I chose life. On December 14, I had the tracheostomy procedure and have been living and breathing through the ventilator ever since. But in choosing life, that means nothing goes according to a plan and there is no clear path in this new journey. I have found myself stuck in limbo at the hospital for over five months unable to return home alone, but with no true guidance on how to navigate all that is involved in getting back to my life. The goal now is to return to my own home, but in need of greater assistance than I ever thought would be necessary at this juncture.
The reality is that I will need 24 hour care at home, because I now need help with transfers to the toilet, bed, wheelchair, etc. I was able to do all of this myself prior to this hospitalization. I also need the 24 hour care now that I have a trache and vent. I cannot take care of all that goes along with it on my own. If something goes wrong and it’s not something I can handle alone, my life would be at risk. Having full time mechanical ventilation through a foreign object in the body is not an easy thing to adjust to and there are many protocols and daily procedures that come with it. So with all of this being said, I will be hiring caregivers to cover 24/7 care in order to continue living and thriving in my own home for as long as possible.
This is where my need for help comes in. I have never qualified for government help such as Medicaid, due to the value of my assets. My insurance, Medicare, does not pay for home care, but Medicaid will. I have hired an attorney to help consider my options such as paying off my mortgage and whether I can preserve any of my remaining savings for future living expenses while also understanding how to meet the Medicaid requirements on income and asset limits. At the same time I have to start hiring and paying caregivers as soon as I am discharged from the hospital, which will cost me about $18,000 a month. This reality is extremely tough to face but I intend on doing so with grace and appreciation for each day I am able to live a full life doing the simple things I love! Whatever amount you can donate to my campaign, I would be forever grateful for giving me the support I need to continue living in my own home. Someone once told my mom “where there is life, there is hope”. As long as I have this life, as challenging as it is, I will continue to have hope!
I heard about this nonprofit “Help Hope Live” through the Christopher and Dana Reeve Foundation and found the name to be perfect for my goal. By giving, you are definitely helping hope live in me!! Thank you so much.
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Praying for you!
LuAnn Brown
❤️
Jamie Efaw
Melissa Klein, I'm so happy you're home. God bless you!
Joan Mabee
Love you Melissa!
Linda
Linda Bruck
Thinking of you Melissa and wishing you continued success as you transition back home.
Kendra Ahl
Here’s to a full and happy transition back home. We love you!
Brian Smiles
Wishing you all the best Melissa!
Sydney Clayton
Hope you’re able to get home soon Melissa!
Kathleen Roy
Keeping you in our thoughts and prayers.
Shawna and Carter Wilcher
Thinking of you Melissa and hope this helps. We continue to struggle emotionally every day with Kate\'s loss. We will keep you in our prayers, and please keep Kate and us in yours. Take care!
Patty Mitchell and Laura Oeffling
You continue to face each day with courage, determination, and unshakable spirit. I deeply admire your positivity and perseverance. May God continue to guidance strengthen you.
Deloris Young
Melissa, your strength and perseverance astound me. You are teaching us all not just about your journey but also about how to be positive and hopeful in very stressful dire situations. I pray you get all you need and more.
Cathy Sidman
It’s been a long road, but you are such an inspiration to others.
Nicole Osborn
Melissa, you're such a strong woman and so inspiring! Sending lots of prayers your way.
Rita Hamele
Make checks payable to:
Help Hope Live
Note in memo:
In honor of Melissa Niles
Mail to:
Help Hope Live
2 Radnor Corporate Center
Suite 100
100 Matsonford Road
Radnor, PA 19087
Donor preference is important to us. Please specify in writing if you wish for your name or donation amount to be kept private.
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