THIS BLOG IS ABOUT MY JOURNEY FROM AA TO AD.

I have survived alcoholism from which
I recovered thirty six years ago then
Alzheimer's disease with which I was
diagnosed nearly five years ago. Both
have had profound consequence. They
are associated, one leading to the other.

I write about the experience in a book
click on the title to go to it or read more
about it in the column to the right

Thursday, December 1, 2011

How to Face Fear with Knowledge Part IX

My question: What should I do?


I have this disease. My neurologist said it was Alzheimer’s Disease. I had 4 to 8 good years to go before major deterioration sets in. Deterioration is already in progress. In time it gets worse interfering with my life even more. As it does it will affect me emotionally, cognitively and physically. I will at some point need outside help like home care, day care, assisted living care and finally nursing home care.

What should I do?

I faced this question 5+ ago. I am still looking for the answer!

I first followed the regimen of what is known as BEST PRACTICES: Eat Right, Exercise Daily, Get Involved in Stimulating Intellectual, Social and Creative Activity, Take your Medication. It seemed to me this formula worked. Then that was shot down.

The shot came from The NIH (National Institute of Health) reporting in July 2010:

… there is currently no evidence of even moderate scientific quality supporting the association of any modifiable factor—dietary supplement intake, use of prescription or non-prescription drugs, diet, exercise, and social engagement—with reduced risk of Alzheimer's disease. The evidence surrounding risk reduction for cognitive decline is similarly limited. Low-grade evidence shows weak associations between many lifestyle choices and reduced risk of Alzheimer's disease and cognitive decline.

This seemed to speak “Ex Cathedra” as the Catholics ascribe infallibility to the Pope. If you could not believe the major Governmental Agency that deals with Alzheimer’s Disease (AD) who could you believe.

Nonetheless I doubted. I have said it before on this Blog, before in this series: Too much of the effort behind the support for AD, Government and Public Support Groups, seemed so focalized on raising funds to find the cure, and not much else, it was as though it were contrived.  Nothing else would help AD, people with it, people affected by it; nothing is done to acquire economy in care.

When I see such one sided promotion my trial lawyer background kicks in and I start looking for hidden agendas, other purposes not stated, for purpose in non-disclosure of reason for this focalization

I have held positions and worked with the National Alzheimer’s Association and our local Alz.Assoc. I have served on a State Commission for re-writing legislation that apparently adopted by the legislature in Minnesota, but never signed by the Governor.

In all of my activities I have seen them go nowhere, everything going through the motions but never coming to completion. After this continuing experience these past 5+ years I have concluded we are made a part, but no more than at a level of patronization. We are made to feel we are important, look like we are important and used for any flag waving demonstrations. We are just like a fascist directed crowd, waving ourselves as specimens of this horrible disease, wearing purple Alz.Org T-Shirts, logoed with AD, waiting on queue to make boisterous affirmation of whatever cause of AD we are gathered for.

Having this disease is not demeaning enough. We are debased further by this aberrant use made of us, made to feel of no more account than we are as we are shunned by all the normals who are not affected by this disease. Even the shunning has its source in the use made of us and in the publicity given it like that of Harry John’s President and CEO of the National Alzheimer’s Association:

"Alzheimer's is a tragic epidemic that has no survivors. Not a single one," (1-27-11)

Who then went on to use the facts of the epidemic level AD is reaching to solicit more funding for research to obliterate the disease altogether. This is of course wonderful; ideal if a cure is close. But is it? When will it happen? Is the history of research such as to anticipate the likelihood of this soon?

This takes me to the next thought I have been mulling over. That is the question: What is AD? Is it a specific disease? Does it have a common cause? Are all cases of AD essentially the same? If they are different such as Early Onset, genetically caused, fast acting, slow and plodding in development, all have the same characteristics, same limitations produced in the progress of the disease?

If there are differences is it reasonable to expect to find a magic pill that is a cure all? If this is not query enough, think of this!

There is little or no disagreement that all AD fits within the genus Dementia. There are a number of Dementias. The proposed Diagnostic and Statistical Manual of Mental Disorders V (DSM-V) lists the following conditions that fall under the genus Dementia:

Please find below a list of disorders that are currently proposed for the diagnostic category, Neurocognitive Disorders. This category contains diagnoses that were listed in DSM-IV under the chapter of Delirium, Dementia, Amnestic, and Other Cognitive Disorders. The Neurocognitive Disorders Work Group has been responsible for addressing these disorders. Among the Work Group’s proposals is the recommendation that the category be divided into three broad syndromes: Delirium, Major Neurocognitive Disorder, and Mild Neurocognitive Disorder.


This introduces the direction I will next take with this topic namely the confusion and ambiguity involved with AD in the professional community.

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