I wish
that the book Seven Steps to Managing
Your Memory: What’s Normal, What’s Not, and What to Do About It was in
print during the second half of 2013 when I was first showing prominent
symptoms of early-onset Alzheimer’s. It would have saved me a lot of anguish
over the next couple of years. Sure, either way, I would have ended up with a
diagnosis of Alzheimer’s. But by reading “Seven Steps,” I could have learned
what was likely ahead of me, and dispel my worst fears.
Instead, I found myself in a downward spiral. Neither my
editor nor my department head could account for my poor performance. And how
could have they? For more than eight years I earned solid performance reviews,
but now I was struggling. No one at my workplace suggested that I might have
Alzheimer’s or some other form of dementia. It was all beyond our comprehension.
The book, recently published, is exceedingly practical. The
authors are Dr. Andrew E. Budson and Maureen O’Connor, an assistant professor
at Boston University’s Alzheimer’s Disease Center. The book features many fictional
dialogues, involving five characters: an eighty-year-old woman, Mary, who ends
up diagnosed with Alzheimer’s; Jack, Sue’s husband; Sara, Jack’s daughter; and
Sam, a friend of both Sue and Jack. All of the fictional characters, with the
exception of Sara (Jack’s daughter) are 72 or older.
By far the most relevant information for me came in a
chapter titled, “What Kinds of Memory Problems Are Not Normal?” Starting in the
late summer of 2013, I had pronounced difficulties, both in my job and in other
facets of my life. My professional shortcomings were duly noted by my employer,
with my annual performance evaluation changed from the standard annual review
to one review every three months. Even in my leisure time, outside of our home,
I was often anxious. One night in August I was planning to meet a friend at a
prominent pizza chain, ahead of attending a Red Sox game. I was having problems
with my cellphone (it wasn’t the phone I normally used) and my anxiety was
rising. Worse, I mixed up Burtucci’s with Pizzeria Uno; both establishments
were close to Fenway Park. We still managed to get to our seats before the
first pitch was thrown, but my enjoyment of the game, which had playoff
implications, was tempered by my anxiety.
Before discussing dementia directly, the authors sketch in
the role of the dual hippocampus, the seat of short-term memory, one on the
left brain, and the other on the right. The two sides of the hippocampus have
somewhat different roles, with the left sphere specializing in remembering
verbal and factual information, and the right hemisphere and the other sphere for
nonverbal and emotional information. Other topics include forming long-term
memories. As a header section title declares, “You Need To Pay Attention To
Form A Memory.” Otherwise the memory won’t endure. In this first chapter, the
authors also bring up false memories, which are common among people with dementia.
These aren’t necessarily fantasies; in my case, I think of them as errors of
facts.
Significantly, Alzheimer’s typically first attacks the
hippocampus first, the seat of short-term memory. As the authors ask, “Why does
Alzheimer’s cause rapid forgetting? Because Alzheimer’s damages the
hippocampus, where new memories are formed and stored. So in Alzheimer’s, even
if the frontal lobes are taking in new information related to episodes of our
lives and sending it to the hippocampus, new memories are not forming (or are
imperfectly forming) because the hippocampus is damaged.”
Other “Steps” recommended in this very practical
book includes “What Can I Do To Strengthen My Memory?” and “Which Memory Aids
Are Helpful?” The answer is that, for me, I am now taking daily supplements of
vitamin D, along with B12 vitamins, which I I’ve been taking daily for at least
a year. I gather that the efficacy of these supplements are limited. But, as
far as I can tell, there is no downside of these supplements—unless you can’t
stomach the dosage, as I recently learned. Yet when you’re facing an adversary
like Alzheimer’s, you should do whatever you can do, even if the upside is marginal.
No comments:
Post a Comment