Martha’s
Vineyard
Lois picked me up at the bus station yesterday evening
and we drove directly down here to Martha’s Vineyard. On the way down, not knowing about the
diagnosis, she asked what I was doing these days; the answer, of course, was
that I was coping with this diagnosis. It seemed a good lead-in to the weekend, so I
told her. She was silent for a while as
we drove the highway and then, “Jesus, David.”
A little later, “I am so sorry.”
There were some tears. Shortly
thereafter, she said, “I knew you had some bad news if you were coming up here
just to ‘visit.’”
Lois hadn’t missed anything a month or so ago when I’d
called up to invite myself for a visit.
When she returned my call, Marja picked up the phone and, in the course
of the conversation, told Lois that I was concerned about some “cognitive
issues.” That was “back in the day” (six
weeks ago) when we had decided to break the children in gently by mentioning
concerns but not going so far as to name the diagnosis. It was a useless strategy, of course. Anyone in our family would pick up on those
words immediately and press for clarification.
Even if they didn’t push for more information, they would be waiting for
the next shoe to drop.
Advice to others with Alzheimer’s: Do not try to break
anyone in “gently” unless you’re prepared to tell a bald-faced lie to keep the
conversation from going to the end. They
are going to worry. (That probably won’t
stop me from trying to postpone telling my other sister Laurie before I visit
her.)
After we’d arrived on the island later yesterday
evening, Lois and I told her husband Fred.
Given his career as a psychiatrist, I was hardly surprised that he had
no visible emotional reaction, although I’m beginning to find such
matter-of-fact responses more and more helpful.
It’s good to be able to talk easily and frankly about what’s going
on. We talked mostly about Alzheimer’s
from a medical point of view, and I got some new information. He said that there were new drugs in Phase II
testing (to see if a drug is safe) that showed some hope for preventing the
deposit of “beta amyloid,” the protein that is deposited around the
neurons. The resulting dysfunction of
those neurons is considered the primary cause of the cognitive decline. Although there’s no clinical evidence yet,
the possibility that medications might ultimately be able reverse (or at least
stop the progression of) early disease seems reasonable. Lois, of course, was very interested in
getting me into s drug trial, but since the current phase is multi-national,
taking a total of 200 patients and tens of thousands probably clamoring to get
in, the chances are minuscule. There
will undoubtedly be Phase III trials (to further test for whether a drug is
effective). I find myself curiously
(even irrationally) resistant to the idea.
Part of Alzheimer’s symptoms is apathy.
Is that what’s keeping me passive?
Well, it’s certainly a part of it.
Truth is, I just don’t want to be bothered with pushing for inclusion
into a trial that I don’t stand much of a chance of getting into anyway.
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