Clinical trial.
Often when I hear those words my heart sinks and my
stomach knots up, as it can imply an underlying sense of despair –
an illness without a definitive cure.
Mom was in a clinical trial for eighteen months,
potentially taking a medication that focused on untangling that tau proteins
that gum up and ultimately cause a break-down of her neural connections.
During the actual trial, much of the experience felt
perfunctory – a constant ‘going through the motions’…answering the same questions –
rank how your mother is
able to do the following --
- laundry?
- hygiene?
- reading a newspaper or book?
- laundry?
- hygiene?
- reading a newspaper or book?
Every month I would robotically answer ‘with some
assistance’ or try to hide the pang of sadness in my voice as I shifted an
answer from ‘with some assistance’ to ‘not at all’. Life felt like a perpetual
cycle of idle moments in fluorescent lobbies, halfhearted grins covering our
sensed-impotence as we answered survey questions, and brilliant, multi-colored
daily pill bottles filled to the brim with dull tan and bland white medicines –
taunting us. (Are they real? Or is it just a placebo?)
And then, all of a sudden – the trial ended. I
quietly wrote about this previously and tucked it away on the blog. But to
reiterate – it was an incredibly painful moment, one that unexpectedly forced me
to stare hardship in the face when I least expected it. I remember throwing my
sunglasses on during my drive home that day, in spite of the overcast weather, to
hide my tears from Mom. I hadn’t realized we’d reached the end of the study.
(I thought we’d had another two weeks to a month, so I hadn’t mentally prepared
for it to end.) Even worse – our exit appointment was poorly organized and I
was pressed for time. This resulted in being told that Mom had tested too low
to be considered for any other studies in quick, terse sentences as we were
hurrying out the door. It felt like someone was pulling off the proverbial
band-aid I’d placed on the much deeper laceration, one caused by the hopelessness underwriting the trajectory of this disease.
So, this year for the walk email I’m about to send out, I
can’t include an upbeat or chirpy line about Mom’s participation in a clinical
trial.
The reality is she no longer qualifies for any of the
ongoing trials in our area.
While that was always going to be the case – that a cure
wouldn’t get to market in time for her - having to face this harsh reality has
not become less painful over time. I’m
grateful for other simpler, fun, and engaging study opportunities. I’m
grateful for adult day centers that keep Mom engaged and programs that provide
activities for individuals to continue to stimulate their minds.
But, more than anything, I fluctuate between searing
anger, debilitating hopelessness, and pat acceptance over the fact that a cure
doesn’t currently exist. And so, in the meantime we walk to end Alzheimer’s
because a portion of the funds will be applied to other clinical trials and research initiatives. We walk so
that other families can have hope in the immediate term, and so that ours can
continue to draw on hope that countless others (including our wonderful boys)
will be spared from having to grapple with this wretched disease.
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