Friday, May 20, 2016

My Story Retold

I was recently asked to write "My Story" to be published by Dementia Symptom Perspectives.
It was published online by them and then shared again by another online site that publishes things written about FTD. They have also reposted some of my blog entries from time to time. I always say, every time I write something that if it reaches just one person, it is worth doing. It worked, I received a message from someone who had just been diagnosed with FTD and she was desperate for information. Also last week, I received a lovely message from someone who had discovered this blog and just wanted to thank me for sharing my information which was helping them understand FTD and learning how to help the family member who was just diagnosed.
Anyway, I thought I would post a copy of "My Story" here in my blog?
Everyone who has been diagnosed with Frontotemporal Dementia has a story. My story is no more important than anyone else’s and is probably not that unique when it comes right down to it. To me, however, it is a story that encompasses most of my life.
It started when, as a teenager, I came to realize there was something wrong with Grandma. I watched my grandma disappear a little at a time as dementia slowly destroyed and eventually took her life. Years later, it was my mother. A few more years and it was my favorite aunt. I was a part time caregiver for all of them. Their brother also was stolen by dementia. They were all diagnosed with Alzheimer’s Disease, but knowing what I do now, I truly believe it was FTD.
Eleven years ago, my husband, retired early. He sat me down one day and said “You have followed me and my career all over the country, now it is your turn to choose where we live.” I didn’t even think about it, I said “Take me home.” It wasn’t long until we did exactly that, returning to the small city in the central part of Pennsylvania. Population 45,000. After living in many large cities across the country, it came as a culture shock to us. In a few years, we would learn that living in a smaller town, while it has many benefits, has one huge downfall.
I went to work as an accountant. I worked there, I am guessing about six years. It was an easy drive from home, a direct route with just four turns. Six years ago, during the busy tax season, it became my habit to stop at a local convenience store for a giant cup of coffee to get me through the morning. I realized that I was struggling with that simple purchase almost daily. I solved it by buying store gift cards so that when I went in, that was all I took in with me. I should have, but didn’t, stop to wonder why it was happening.
A few months later when driving to work and the street I turned on to go up to the office was closed. I drove another block and turned up the next street, which is the street I usually came down at the end of the day to head home. The office was only two blocks up that hill on the avenue between the two streets. Driving up the hill, I started to panic because I was lost. I pulled to the side of the street and tried to work it out in my head and couldn’t do it. Finally, I drove slowly to the end of that second block, saw the ballfield at the corner and realized where I was. This led to getting lost when it was my turn to make the lunch run. I could find my way to the deli, but not the way back. A couple months later I stopped driving altogether after nearly causing several accidents. Soon after, I was blindsided at work and was fired. Although I understood why, it was handled in an ugly manner, leaving me devastated, embarrassed and unemployable.
I was around 55 at that time, the same age my grandma and mother were when Their dementia became obvious. I made an appointment with my family doctor who referred me to a local neurologist. He sent me to a neuro psychologist for testing and both diagnosed depression and insisted I was too young for Alzheimer’s or dementia. Yes, supposedly the best neurologist in town actually said that. I went to a second neurologist who concurred with the first one after a two or three minute exam. Now, I knew the largest downfall of living in a small city: not many good doctors. My family doctor, though, knew me well enough to insist it was not depression and she sent me to a neuro-psychiatrist in Pittsburgh about 90 miles away.
After a SPECT brain scan, he immediately diagnosed FTD . (He later added MND,Motor Neuron Disease). No doubt in his mind, that was it. He showed us the pictures of my brain and the next words to us were “Go home and start living you life while you still can.” He later changed my diagnosis, BvFTD w/MND (Motor Neuron Disease). Since I was unemployed, I had a lot of time to investigate FTD. Every time I read something new, I would say “Yep, that’s me!” I learned from reading that the drugs for Alzheimer’s were contraindicated for FTD and insisted on weaning off them. It was an improvement as my mind seemed more clear without them.
I enrolled in a dementia research program in Pittsburgh. Later I learned that their focus was only Alzheimer’s Disease. After two years and four visits, they basically said there was nothing wrong with me because I had passed the memory tests with flying colors. Knowing that FTD did not usually destroy the memory until the later stages, it was totally frustrating that they did not take that into consideration. As a result, the local doctors actually became correct. The cavalier way of these doctors treating me sent me spiraling down into depression. I was very lucky and learned of a psychologist, right in our tiny little town, who specializes in dementia. I only see her once a month now, but will continue seeing her as long as she is willing. She grounds me by helping me deal with the daily frustrations of coping with FTD, and there are many. The biggest frustration is not wanting to rely on others. Even in childhood, I wanted to do it all myself. This has been a difficult transition .and she has become one of my lifelines.
I found another lifeline, this time on the internet. I was invited to join an online support group for those with a confirmed diagnosis of FTD. These new friends are the only ones who truly understand what it is like to deal with the constant issues that arise with FTD. Their advice has been extraordinary. If I didn’t have them to “talk” to, I would most likely be at the psychologist’s office daily.
Every specialist would collect my money and say “Sorry, there is nothing we can do, but please come back in three months.” I decided to give up seeing all the specialists and now only see my family doctor and psychologist. My husband became my primary care partner along with my daughter, though she has to help from three states away. They are my strongest lifeline ever.
When you have an appointment with a new healthcare professional, go to the first appointment armed with information about FTD and offer to leave the info with them. The good ones will accept it willingly and will actually learn about FTD because they want to help their patient. Do not be afraid to lean on others, your care partners and healthcare partners. This is one time it does not work to be a do-it-myself person. This is a disease we cannot, and should not have to, face alone. I have deliberately not gone into all the symptoms and physical impact of my FTD mainly because I try my best to not complain and there are others who explain those more than I do. I thought it more important to share the story of how I got here.

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