On Dependence

My assistant, Juan, arrives at 8:30am. He helps me to the bathroom, and as he walks away, I can hear him singing a song in Spanish. He played a soccer game the night before, he tells me, when I am back in my chair. He wants to know how my night was, and then he settles in to do dishes. I drink my tea and consider, once again, what it means to have people helping me. I’m reminded of a guest post I wrote on my friend Richard‘s blog. Re-reading it, I realize it is exactly 9 months old. My ALS has progressed, but some things haven’t changed.

In June 2014, when I first wrote about needing help, I was struggling with how to handle my growing dependence gracefully. I still am. Sometimes when Juan or my other assistant, Rochelle, are here to help me, I just wish I could be alone. They are so kind, professional, helpful. But the only help I really want is from someone who can give me back my motor neurons.

Juan takes me to school to pick up Scarlett. He parks around the corner, because when we take a spot directly in front of the building, we have found that the van—with its irresistible ramp—quickly becomes full of preschoolers. They run in and out as parents try to corral them, and the last time it happened, they found a bunch of styrofoam pieces on the sidewalk and brought them into the van, so it could “snow.” I’m pretty sure my own child was the ringleader on that one. Read More>

Driving Force

The first neurologist I ever saw was a 2nd-year resident who looked like a high school kid. I’ve blogged about him before; he’s the one who told me he thought I might have ALS after we’d known each other for 20 minutes. He’s the one who told me I might want to reconsider trying for a second child. I wouldn’t exactly call him a bad guy, but I don’t have a lot of fond memories from our time together.

One of the things he told me early on was that everything was going to get harder for me. Walking, stair climbing, driving. I was most concerned about the driving, and I pressed him on it. He assured me that my losses would be gradual, that it would never come down to me getting behind the wheel and being suddenly, surprisingly unable to operate the car safely. Don’t worry about that, he told me.

It’s funny, because it was likely the only reassuring thing he’d ever said to me, and it turned out to be a bunch of crap. Read More>

Brain Power

Scarlett and I paid a visit to one of our favorite doctors, Dr. Steve Finkbeiner, in his lab last week. Dr. Finkbeiner works at UCSF’s Gladstone Institute and is the inventor of robotic microscopy, which is a huge step for modern drug discovery. He’s also just an all-around nice guy, who lets me stop by and bother him, even when I bring a 4-year-old who is still wearing her fairy costume from that day’s Carnevale party at school.

The first time we visited the lab, Dr. Finkbeiner and I chatted about research developments while Scarlett was spirited away by an assistant to make a “neuron” out of styrofoam and pipe cleaners. This time, she stayed with me in the office, manhandling the doc’s extensive collection of toy brains. He has one real brain in formaldehyde that I think is fascinating, but Scarlett was far more interested in the gooey, wind-up brains, and would not stop touching them.

I asked the good doctor to show me which part of the brain is responsible for impulse control and at what point it becomes developed in children. Short answers: The Front Part and Not Yet. Read More>