Kate

Two pieces of news came to me the other day, almost at the same time. The first was news we all heard: Alan Alda came out publicly to say he had been diagnosed with Parkinson's disease 3 years ago. As he was diagnosed quite early, before the classic symptoms of PD had begun, he is still just beginning this journey. Not long after reading this, I received a message to say Kate Kelsall had passed away on Sunday, July 29, ending her journey with Parkinson's disease.

Ask anyone who knew Kate and the first thing you'll probably hear is "She was a force to be reckoned with". Kate took the Parkinson's community by storm. She had DBS surgery and, with Valerie Graham, was a patient liaison for patients having DBS and they started the Bionic Brigade support group. She talked Paul and Carolyn Zeiger into starting a support group for caregivers. She danced, played accordion, went to the World Parkinson Congress in Montreal, won a channel 7 Everyday Hero Award with Valerie, among many, many other things, and... she wrote a blog.

In her very first entry, dated September 27, 2006, Kate talked about being approved for long term disability benefits, thus confirming what she knew already: Parkinson's disease is "chronic, permanent, progressive, and incurable". She had hoped she would be the 2nd miracle which Pope John Paul II needed for his sainthood application or at least the "DBS or PD poster child". In the last paragraph, she makes a sobering observation: The letter further stated: “In no event, will benefits be payable beyond October 1, 2015.” Oh well, perhaps I won’t have to worry about it. I doubted if I’d even be around with advanced PD in 2015 or as Nora Ephron described it her latest book, "I Feel Bad about My Neck" as “dancing around the D word.” 

Kate talked about her DBS surgery, dancing, her challenges with speech, her frustrations and her victories. She listed resources, talked about various forms of exercise, and discussed ways to make our lives better. She interviewed others and encouraged guest bloggers to allow her to publish their writing. She was the first person to publish my articles. I'm not even sure how she found out about my writing. 

She also wrote about death. She didn't even "dance around the D word". Kate talked about the death of her mother: "We fear that our Mom who suffers from Lewy Body Dementia (LBD) will either choke to death or starve to death." and "Aspiration pneumonia, a leading cause of death with Parkinson’s patients, often develops as a complication of mealtime swallowing problems, leading to the inhalation of food and drink."  She answered one reader's question on October 16, 2007 with: "Frankly, my greatest worry is when and how I am going to die. The only blog posting that I started but didn’t finish was about dying with or from PD."

I argued with Kate about this. We got together a few times and we corresponded a lot through email. She told me she certainly wasn't going to live to be 80 years old and that she'd probably die of aspiration pneumonia. I insisted that we don't die from PD, but with PD. She smiled. She was sure she was right. We argued amiably about a few other things, too, like whether one could drive with dystonia and the proper length for blog posts. This one would already be too long in her opinion.

It's humbling to realize now, but Kate was right. When she died of aspiration pneumonia, 21 years after she was diagnosed, she was 67 years old. Parkinson's disease not withstanding, she barreled her way through life, always working to provide support and resources for people to make their lives better. It's really hard to imagine any Parkinson's function without her.

Well, Kate, take a little breather then, wherever you are, keep on being the force you were here on earth. Sing! Talk and yell and shout and dance! You've finally left your PD behind for good.

Death by Parkinson's

Every time I go into see my neurologist, she asks me if I've thought about having DBS surgery. I roll my eyes and let her know my thoughts are the same. It's still brain surgery and I'm not ready for brain surgery. At this, she will remind me of the limitations of my medication and say, “You are young, you know. I'll be treating you for the next forty years.”

I thought about this when I read, once again, an obituary which said the deceased had died of Parkinson's disease. Whenever I read this, I yell out loud to all the people in the newspaper, deceased or not, to inform them, “YOU DON'T DIE OF PARKINSON'S, YOU DIE WITH PARKINSON'S!” This is what I've been told, anyway. What's up? Am I wrong?

Time to go to the experts.

The Parkinson's Disease Foundation says this:

Q: I just found out a friend has PD. I don't want to ask him this question, but what is the long-term prognosis? Is it fatal? (anonymous)

        A: Parkinson's disease is not fatal.

It's disconcerting, to say the least, to see Parkinson's disease listed as the cause of death. This seems to be a widely held belief. One can even look on the internet and find lists of people who have died of Parkinson's. There's a list of celebrities and a list of politicians. There's even a list of chess players who died of this disease.

Wow.

I wonder if chess players are more at risk for developing Parkinson's?

Admittedly, complications of Parkinson's can cause problems which can shorten one's life. Most of the complications are similar to getting old. If we can't move as much, we're more susceptible to things like pneumonia and heart disease. Choking is a danger. There are undoubtedly other complications, but I'll leave them for now. I don't let myself go down that road very often.

I'm not trying to discount these dangers. I've had the Heimlich maneuver done on me four times. From this, I've learned to not eat meat or salads when my medications are wearing off. I've also learned not to get angry and go on a rant about something or someone while I'm eating meat. That's what happened the first time I choked and it had nothing to do with Parkinson's.

There are many other complications of life which can cause death. Remember what Bilbo says, “It's a dangerous business, Frodo, walking out your front door.” If we go about thinking of all the possible ways our lives can be shortened, we won't go very far at all. And, of course, we know staying home and doing nothing isn't conducive to a long life, either. I don't really think about this much at all, not anymore, and not until I read one more article listing death by Parkinson's.

Out of curiosity, I had a look at one of the websites with its list of PD victims. The site is “The Political Graveyard” and contains many different types of lists. I looked at their list of politicians who died of Parkinson's disease. I was pleased to note how much information is included in each entry, including the exact age of the person in years and days.

I was even more pleased to see the average age of the victims. Most were in their mid to upper 80's. The one in his 60's actually died of a heart attack and had Progressive Supernuclear Palsy, not Parkinson's. Then there is Milward Lee Simpson, from Cody, Wyoming, who died of Parkinson's disease at age 95 years, 210 days. If PD is what took his life, it sure took its time about it!  

I'm going along with my doctor, though not necessarily with her suggestion of brain surgery. I'm going to assume she'll be treating me for the next 40 years. That will make me 94 years, 360 days old... and counting.

I realize, of course, this might not happen. Who knows whether my doctor will still be around in forty years.