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Wellness Wednesday for September 4, 2024

The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:

  • Requests for advice and / or encouragement. On basically any topic and for any scale of problem.

  • Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.

  • Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.

  • Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).

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Gone through this a couple times with family unfortunately. To be honest the prolonged degradation of these diseases twisting your loved one into a mockery of their former selves makes their actual death come almost as a relief. With Alzheimer's, pretend the victim's normal personality and mindset is like a radio station one is driving away from.

At first, it's all fine. Then there are occasional static bursts in the signal, small things you can dismiss as a fluke. She'd forget what year it was or not recognize an old friend. Then bursts of static interrupting the song you know and love. She started occasionally calling me the name of her cousin who was killed during D-Day.

You realize that this is really happening, and the signal is failing. She put dirty dishes in the microwave to clean them. The further out, the more static and less signal. She tried to plug an electrical cord into a water faucet. Eventually it's almost all static and you just hear some pieces of the song coming through. She could not remember her husband's existence and would repeat the same words over and over in a loop.

Then just a roar of static with an occasional pop that might be caused by the original song. She recognized almost no one and was near comatose, just had a vague sense we were connected and called us all by the names of the dead. It's like a perverse ship of Theseus where at some point so much has rotted away that the person you knew is gone. She would lay silent, glassy eyed and drooling for hours.

My other close relative who died from it had a quicker progression, but it made him act out of character in a very aggressive and violent manner to the point he had to be institutionalized because he kept trying to kill my aunt and caretakers. It can degrade people unevenly; his body stayed strong for a long time after his mind was destroyed, while the first person I described lost both simultaneously.

Somebody dropping dead of a heart attack is something you deal with the sharp pain of, but the mind can switch to categorizing them as gone, it doesn't consume the lives of multiple relatives taking care of them, and memories of the dead aren't tainted by a cruel decline. With these degenerative diseases attacking the mind, it's like your loved one becomes an animate corpse with just enough scattered fragments of their old self resurfacing to torment everyone around them but not enough to comfort them or bring the victim happiness. The death process takes ages and drags out everyone's pain. When they finally die, there is grief but also relief that their suffering is over.

With cancer, usually their mind is intact but they get twisted into a miserable, pessimistic version of themselves from all the pain and drugs for a couple years until giving up. Opioids help greatly with pain but make them zombie-like. I am not a doctor, but from what I observed marijuana edibles and tinctures are very helpful for mitigating low-medium level pain and delaying when the cancer patient has to start taking opioids. It made the difference between them being unable to sleep well due to itching sensations from the cancer and reducing that enough to sleep through the night.

If diagnosed with Alzheimer's, dementia or an incurable cancer I would strongly recommend writing up some memoirs, recording tapes for your family and friends then committing suicide.

If someone you know is in the early stages of Alzheimer's or dementia, I'd recommend surreptitiously recording your conversations with them and asking them a lot of autobiographical questions. How they met their spouse, their favorite songs, their first job, travels, funny stories, etc. The audio will be of great comfort to you and other relatives later. People remember to take pictures but almost always forget to preserve someone's voice. Also, with degenerative brain diseases IME older memories endure the longest, and you can have almost lucid conversations with them pretty far along by sticking to topics from decades ago. Playing their favorite songs also tends to bring their mind back together for a little bit.

I appreciate your writing this post.