I am
becoming impatient. Season by season I sense my faculties eroding. Yes, I
understand that mine is a progressive disease, and, as far as I can tell, my
rate of decline is a bit slower than the norm. Four-and-a-half years since my
earliest symptoms, in most social situations I can pass for normal. But drop me
off alone at an airport, and my anxiety will spike. And require me to change planes
in, say, O’Hare Airport, en route to Seattle, with limited time to catch my
connecting flight, I would be courting disaster. The ever-flipping electronic
boarding times seem part of a system-wide cruel joke on impaired travelers.
Just as I would find the SEA abbreviation, I would lose sight of the flight number.
I would have to set down my carry-on luggage, pull out a mini-notebook from my
jacket pocket, concentrate my hardest, and hope to jot down the correct gate
number and time. It’s unlikely that I will fly alone again.
And yes, I am aware that many people are far worse off.
I’m not only talking about people with Lou Gehrig’s disease, one of the cruelest
neurodegenerative diseases. I’m also thinking of B. Smith, the African-American
fashion maven who is now well into the middle realm of Alzheimer’s three
stages, despite being diagnosed only about three years ago. What frustrates me
is the parade of failure of Alzheimer’s drug candidates. Many of us know that
the vast majority of Alzheimer’s drug trials end in complete failure. If Alzheimer’s
researchers, some of the smartest people on the planet, were a baseball team,
their collective batting average would be not much above .000. There are only a
few drugs on the market, and the best-known one, Aricept, provides limited
efficacy.
The latest disappointment came, rather
cruelly, just before Thanksgiving. The Boston
Globe reported that Eli Lilly didn’t get over the efficacy bar to continue with
their research. The company had already learned that their drug candidate would
not halt the disease. What else is new? But there was alluring hope that the
drug would slow the pace of the disease, and that gave people like me optimism
that we might enjoy a significantly wider window before we reach the disease’s extremely
unwelcome final stage. “We didn’t get the results we wanted or expected,” a
spokesman stated. Isn’t this the way that Alzheimer’s trials always end?
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