3 ms·
Alzheimer's is terrible, but the way our current medical system handles old age makes it even worse. A doctor friend of mine wrote an essay on this, titled Who
by apsec112 12y ago
Alzheimer's is terrible, but the way our current medical system handles old age makes it even worse. A doctor friend of mine wrote an essay on this, titled Who By Very Slow Decay (http://slatestarcodex.com/2013/07/17/who-by-very-slow-decay/ http://slatestarcodex.com/2013/07/17/who-by-very-slow-decay/):
"Somewhere in the process your mind very quietly and without fanfare gives up the ghost. It starts with forgetting a couple of little things, and progresses until you have no idea what’s going on ever. In medical jargon, healthy people are “alert and oriented x 3″, which means oriented to person (you know your name), oriented to time (you know what day/month/year it is), and oriented to place (you know you’re in a hospital). My patients who have the sorts of issues I mentioned in the last paragraph are generally alert and oriented x0. They don’t remember their own names, they don’t know where they are or what they’re doing there, and they think it’s the 1930s or the 1950s or don’t even have a concept of years at all. When you’re alert and oriented x0, the world becomes this terrifying place where you are stuck in some kind of bed and can’t move and people are sticking you with very large needles and forcing tubes down your throat and you have no idea why or what’s going on.
So of course you start screaming and trying to attack people and trying to pull the tubes and IV lines out. Every morning when I come in to work I have to check the nurses’ notes for what happened the previous night, and every morning a couple of my patients have tried to pull all of their tubes and lines out. If it’s especially bad they try to attack the staff, and although the extremely elderly are really bad at attacking people this is nevertheless Unacceptable Behavior and they have to be restrained ie tied down to the bed. A presumably more humane alternative sometimes used instead or in addition is to just drug you up on all of those old-timey psychiatric medications that actual psychiatrists don’t use anymore because of their bad reputation."
- x0x0 12y agoemts get to deal with this all the time too. People get sick in nursing homes -- they are cesspools -- and have to be transported to a hospital. Unfortunately, they have no idea what's going on, and they're being strapped down in a van and manhandled by strangers. You can imagine how they react. After a while they get notes in their medical records saying they have to be physically restrained during transport, which terrifies them even more. I would much much rather be dead.