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The epic film “Oppenheimer,” celebrated winner of seven Oscars at the 96th Academy Awards, including Best Picture, Best Director Chris Nolan, Best Leading Actor Cillian Murphy, and Best Supporting Actor Robert Downey Jr., took viewers to the chilling brink of the nuclear age—a threshold in years to come of treacherous government lies and deceits worldwide that over time cost millions of innocent lies.
Turning the tables on denial: Chris Herren, a former college and NBA basketball star with the Boston Celtics and Denver Nuggets, was a king of denial in his addiction to alcohol, cocaine and heroin—until he ran out of excuses…
"There is no such thing as paranoia. Your worst fears can come true at any moment."
— the late journalist and author Hunter S. Thompson
With nuclear war saber-rattling today from Russia, China, Iran, North Korea, and third-world countries seeking to develop the means to hurl nuclear missiles toward the United States at a moment’s notice, the fallout of fear envelops many of us.
As world experts race for a cure, harnessing some of the brightest minds on the planet, those on this precarious journey—an estimated 55 million worldwide, projected to reach 78 million in six years, then add in the caregivers—must have heart. For the mind and the heart, the place of the soul, are both vital for victory over a demon of a disease that has run its serpentine course since ancient times, demoralizing generations upon generations.
Several weeks ago, I became a member of an exclusive club that I never wanted to join: a parent who has lost a child.
No parent should ever have to bury their child, and no parent should ever have to rush to an emergency room, as I did recently at Cape Cod Hospital, to see a sheet pulled over their child’s head.
And yet so many have.…
My close friend Paul Berry embraced both living well and dying well in his courageous battle with life-ending Bulbar Onset ALS. Paul passed away in peace recently, 15 months after diagnosis.
I wrote about him four months ago on this blog, reflecting on his state of mind in persevering against all odds in this fast track variant of ALS. A skilled psychotherapist on Cape Cod, Paul spent his work life helping others find peace, and in the end he found peace himself from within.
“While memory is king, it is also a bit of a dunce,” says close friend Lisa Genova, Harvard-educated neuroscientist, author of yet another New York Times Bestseller, Remember: The Science of Remembering and The Art of Forgetting, published through Penguin Random House.
“Often,” she adds, “you can’t remember what you had for lunch on Tuesday, but in the long term you can remember the details of a family vacation… Memory is selective.”
Hold that thought…
In July 2021, he was diagnosed with bulbar onset ALS, a fast-track, complicated variant of this horrific disease that reaches far deeper than the somber symbolism of an ice bucket challenge.
ALS, also referred to as “Lou Gehrig Disease,” can strike in two ways—limb onset and bulbar onset. Limb onset initially affects limbs (arms and legs) and accounts for the majority of all ALS cases. With bulbar onset, symptoms first befall from the neck up, a far faster demise than limb onset.
(Note: This post is an open letter to the medical community from UsAgainstAlzheimer’s board member Greg O’Brien, who suffers from and lives daily with Alzheimer’s, about how doctors can better communicate: a diagnosis of Alzheimer’s and other dementias; care in the early stages of the disease; and the critical importance of a candid dialogue about brain health. Under federal law, doctors now are supposed to do a cognitive assessment each year for Medicare patients as part of the annual wellness visit. Many don’t.)
I was to speak again in Wellesley, outside of Boston, before a Sisters of Charity event that attracted a broad audience. I had spoken there before and, having been taught by the nuns in grammar school, wanted to be on time and in good order. I’ve always loved nuns; they were ruler strict in the old days, but pretty cool and caring. My late great aunt, Sister Louise, was head of the Sisters of Charity of New Jersey. So I had a front row seat for all of this. Little did I know of the Come-to-Jesus moment facing me…
The late Hollywood icon Bette Davis was spot on when she intoned, “Old age ain’t no place for sissies.”
Perhaps then, I’m a sissy.
At 71, looking down the barrel of Alzheimer’s, a slow dance progression of mind/body decline, intense loss of self and place, acute spinal stenosis and scoliosis, advancing prostate cancer, macular degeneration, and black hole depression, I find myself at the intersection of two roads diverging in the woods.
Fight or flight.
There's something final about death. But is it really the end? Or is death just a beginning?
Over time, in wrestling with the spiritual side, I’ve come to believe that death is the gateway—eternity for those of both good and evil, the yin and the yang of the universe.
It’s taken me a while to get to this view, and I was tested on it recently.
The brain is powerful; the soul even more so.
The combination of the two is the beginning of wisdom.
Music and the creative arts have a way of mending minds—mind-to-soul.
In Alzheimer’s disease and other forms of dementia, music and the creative arts, can often keep people whole as they grip life, tantamount at times to a terrifying ride on the Coney Island Cyclone.
See how...
Dr. Barry Conant, an avid Outer Cape Cod fisherman and a passionate family doctor, frequently said that one can fish safely on the Brewster flats on Outer Cape Cod for two hours—an hour before and after low tide—without having to worry. The tide, as it is with aging, creeps in deceptively, he used to say.
The tide crept in on Dr. Conant, after a long, courageous battle with pancreatic cancer. He died January 30 at age 66. His legacy is now a part of Cape Cod Bay’s horizon on a brilliant sunset. As Hemingway would say: the old man and the sea.
Years ago, I wrote this piece about Barry about his resolve under duress to fight on—a lesson for all of us.
I am squirming in my seat. The closest I’ve ever come to prejudice, a moonshot and back from reality, is as working-class Irishman from a large family, growing up in Westchester County, Rye, New York, being looked down upon as an invited guest at toney country clubs. My ignorance overwhelms me now.
Says Pastor Joe Greemore, “We have a responsibility to care for others even when they have offended us (for a range of reasons) … We are given the directive to love and do no harm…Isn’t it hard to feel the presence of the Lord, when we cannot fully feel the presence of each other?”
COVID-19 is not an invention of the Deep State, a conspiracy of the left, a mirage of the right, or fake news; it’s a deadly virus with confirmed and startling scientific findings, most devastating in terms of hospitalizations and deaths, and one that needs "Groundhog Day" perspective; a pause button.
The maudlin wake of Coronavirus worldwide—the millions of infections, the thousands and thousands of deaths, the mounting causalities still to come, the growing millions of millions unemployed—is explosively reshaping our universe today, perhaps in some ways not seen since the Big Bang. The devastation has caused us to rethink life in fundamental ways. Many now ponder: What else have we missed, what have we learned from all this?
I’m sitting today with an old friend, Margaret Rice Moir, who recently lost her husband, Rob, to Alzheimer’s. In the last two years, I’ve lost six close friends—among the many—to Alzheimer’s and other forms of dementia, leaving lots of spouses without mates, children without parents, and grandchildren with fewer loved ones to hold them. Margaret has something penetrating to say to me now…
The best of humanity can be found in the worst of times. We see this today on the front lines of the Coronavirus pandemic—acts of noble kindness, often found in unexpected places. At a time when we are told to separate, compassion is bringing us closer together. Let us hope this is the new normal—the bottling of benevolence.
The "Lunch Ladies" of Outer Cape Cod are pitching in, as many around the country, in helping to feed the hungry, from young children to seniors, while bracing from Coronavirus. From first responders to the “Lunch Ladies,” we all live in a pretty caring country…
My mother, Virginia, loved yellow – the color of the mind and the intellect, the third chakra in the solar plexus, representing personal power and spark. Yellow is the hue, most visible of all, of memory, hope, happiness, and enlightenment. Yellow inspires the dreamer, encourages the seeker. My mom's rapture with yellow was an upward, heavenly turn in her stages of grief. Yellow also is a color of angels, and in scripture it symbolizes a change for the better. My mom, who died of Alzheimer's in a bruising battle with the disease, believed in angels.
Mother’s Day has a way of bringing us back to the womb, providing prospective beyond a Hallmark card or bouquet of flowers—flashes of reflection, a carousel of streaming images on an old-school slide projector embedded in the mind. The images keep flashing beyond the day. Memories abound.
A sea of late spring dandelions outside my barn is leaning toward Cape Cod Bay in a stiff wind, a wave of yellow. I am drawn to the cluster. The dandelion—a French derivative for “dent de lion,” the tooth of a lion, with its sharp yellow leaves and believed to date back 30 million years— is born as a flower, becomes a weed, and dies slowly from the head down… And so it is with Alzheimer’s.
Memories abound beyond a prized snapshot—in Back To the Future, the photograph fades. While memory is defined by the experts as the brain’s facility to encode, store, and retrieve moments and information, the definition is far deeper than that.
This pillaging disease—one that can take a quarter century or more to run its deadly course, akin to having a sliver of your brain shaved every day—knows no demographic, no race, color, political party, or any other persuasion. Sadly, it affects women, Hispanics, and African Americans in far greater numbers than white Irish guys like me. But a death is just that—a death, resulting in partners without lovers, spouses without mates, children without parents, grandchildren with fewer loved ones to hold them. In the last several months, I’ve lost five close friends to this disease.
Changing a play at the family scrimmage line is an intense ordeal, fraught with anxiety. Several years ago I had to call an audible, telling my children I was diagnosed with Early Onset Alzheimer’s and carried a key marker gene (link is external)--the fifth family member to battle dementia. Now I had to break the news that our 14-year-old family dog, a stunning, loyal yellow Lab named Sox, who had defined us with unremitting faith, hope, and love, and was my guidepost in this disease, was going to die that night. Failing kidneys, internal bleeding and neurological complications were overcoming Sox, and I was to be the executioner.
The bite of the black dog can be worse than its bark. To some, the black dog is man's best friend, a faithful companion in the rear of a pickup truck. To others it is a metaphor for the shadows of depression… All I know is that I can't sleep at night, haunted by demons of depression that keep me captive in the early hours of the morning.
The stairwell seemed to have no ending, an abyss of a downward spiral. At the bottom, there was no lobby, just white sheets draped over furniture, empty room after empty room. The place had the smell of mildew, as if someone had tried to extinguish the flames of hell. My mind was racing. I was lost; delusions were in full gait. I ran up to the next floor. Same frightful panorama. My cell phone couldn’t connect, no signal. Dammit, no signal! Can you hear me now, I cried within? In a flash, Le Montreux Palace had become the Overlook Hotel in Stanley Kubrick’s The Shining, and I was writer Jack Torrance seeking haunting solitude to create. “All work and no play make Greggie a dull boy...”
“You’re not getting out of this,” my doctors tell me. So I try to fight back, stay locked-in as a missile is on target, to slow the progression of this disease. But “locked in” likewise is a medical disorder in which an individual who cannot speak because of paralysis communicates through a blink of an eye. Some days, I find myself between definitions—using every available memory device and strategy, cerebral and handheld, to communicate.