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It’s 4 am. My cat Louisa jumps up on the bed and walks up in between my partner and me. I reach up my hand and rub her head. She purrs a bit. Of course, I know Louisa has been dead for years, but I’ve gotten used to these nocturnal visits.
No, this isn’t about pets who return from the dead. This is about a night with Alzheimer’s. I don’t know why, but since my diagnosis in 2003, my symptoms are worse at night, particularly when I’ve been sleeping.
But there’s Louisa… I can feel her fur, her weight. I must be dreaming… but why does it feel like I am awake? Let me ask… who is the person sharing my bed? During the day, I know his name, but at night, for some reason, I get confused. Is it my brother John? Sometimes, but when it is, he’s only around 20, instead of his real age of 46. Or is it my ex? Thankfully, no, although sometimes that’s the name I call out. No, it’s Larry, my partner.
I need to wake up, so I thrash around. If I make enough noise, it will wake up Larry, and he will wake me up. It works. I’m making an awful racket, or so it seems to me. But in reality, I’m probably groaning or something, just enough that it wakes up Larry, he puts his arm on mine, and asks if I’m all right. Awake now, I say yes, and he goes back to sleep.
I’m awake now. But there is a blue and white inflatable raft leaning against the side of my bed. Why? We don’t have a pool, and don’t live near the beach. I must be falling asleep again. So I get out of bed. All this is fascinating. I should go to the computer and put together a blog entry while this is still fresh in my mind. I stop at the tall bookshelf.
I’m looking along the spines of the books. I recognize my high school yearbook, but I don’t remember the title being on the spine. So pull it out a bit to read the title: “When I’m Only Writing About Myself.” That’s strange. Here’s a book called “How to Write,” by Isaac Asimov. A couple of thoughts occur to me: First, I don’t own such a book, if such a book even exists. Second, there is no tall bookshelf between my bedroom and the small office where the computer is. I’m dreaming again. This is fascinating! I have to write all this down… who’d believe it?
In order to wake up, though, I have to be back in bed. With a monumental effort of making noise and shaking myself, I find myself back in bed. And here comes Louisa, walking over to me. I reach up and pet her. She purrs. OK, I’m back in bed, and dreaming. Now I have to wake up. I go through the “making noise” routine to get Larry to wake me up. It works.
I reach over to the lamp and turn it on. Larry looks over at me. For some reason, the Russian word for “dementia” is repeating over and over in my mind: Cлабоумие… слабоумие. There are definitely times when being multilingual isn’t a good thing. Cлабоумие… слабоумие. Why won’t it stop? I’m getting out of bed when I see the thing sitting on the edge of the bed. What is it? A large salamander? A gecko? Probably watching too many Geico commercials. Either way, it can only mean one thing: I’m not really awake.
I’m back to where I started… First, I have to find myself back in bed with the light off. Then I have to get… what’s his name? My brother John? My ex? No, Larry. That’s right. I have to make enough noise for Larry to hear me and wake me up. What time is it? I look at the clock. It’s about 4:40. I start making my racket again. Larry’s hand on my arm: Are you OK? I say yes and sit up. I turn on the lamp… nothing happens. I learned long ago that lamps that don’t work mean I am still asleep.
But each time I “wake up” seems so real. How am I ever going to know when I am really awake? This is why we had to put a mattress pad on my side of the bed. I’ve been fooled a few times, thinking I was in the bathroom.
What was it going to take for me to wake up? Cлабоумие…слабоумие. Stop that! I must have made noise, because Larry wakes me up. It’s 4:50. I want to get up and write this down. But I’m tired. I didn’t go to bed until after 1:30. I start to doze. Louisa hops up onto the bed. I pet her, and then force myself awake. Louisa isn’t here; she’s dead. I look at the clock. Still 4:50. I sit up and reach for my glasses. Larry wakes up and says, “What are you doing?” I tell him I’m getting up. He says it’s too early. I say I know, and go to the kitchen. I make a cup of instant coffee. (I distinctly remember putting in the sugar, so why does it taste so bitter?)
And now, here I sit, writing this… I hope. If Louisa comes strolling in to the room, I’ll know I’m in trouble!
The following is a short speech I made recently in Lansing, MI. The occasion was the Alzheimer’s Association’s Legislative Day 2006.
My name is Bill Carey and I'm 47 years old. I was diagnosed with early onset Alzheimer's disease two years ago at the age of 45. Prior to my diagnosis, I worked in southeast Michigan for 8 years as a manager of apartment complexes. I was previously fluent in several languages, including French, Hebrew, and Russian, and still enjoy studying languages, and collecting phonographs and records.
Approximately 2½ years ago, I began noticing trouble remembering things. Since I have a family history of early onset Alzheimer’s, I didn’t ignore it or attribute it to getting older, but consulted a neurologist for testing. When the doctor told me I had Alzheimer's disease, I was not so much shocked as I was disappointed. There were still so many things I wanted to do, that I suspect will never be done now. I'm fortunate in that I have a very supportive life-partner, as well as a very supportive social network to help me cope with this disease.
How has the disease impacted me? Well, the disease has robbed me of my independence: I've had to leave my job, because even simple tasks like answering the phone became too confusing for me. As you can imagine, without a job I had no income and no benefits. As a result, I had to eat away at my savings to pay for my living expenses and my medications.
A few months ago, we contacted the Alzheimer's Association - Greater Michigan Chapter to get help. We met with the social worker, who helped us access the medication assistance programs offered by the various pharmaceutical companies. Although there are many ways to enhance my quality of life, I depend on these medications and was concerned about how I would continue to pay for them. In addition, the Association has provided emotional support in so many ways. Just knowing they were there, and that resources were available was a tremendous relief. For my partner and me, this is all uncharted territory. But the Alzheimer’s association has the expertise to help us navigate it. Without their help, I don’t know what I would do.
Many people with Alzheimer's disease can no longer speak for themselves, so I am here to speak for all of us. The only way we're going to get funding and help those with Alzheimer's disease is to make people aware. This is the task of everyone attending Legislative Day, and I hope each and every one of you will continue your efforts to help me, and the millions of others afflicted with this disease.