Last week I treated a wonderful elderly woman with relatively advanced Alzheimer’s Disease. Instead of driving the U.S. Interstates in a class A motorhome like everyone else her age she is stuck in a haze of confusion known as Alzheimer’s. When I called her name in the waiting room she gave me a puzzled look and asked me why she was here. Luckily she lives with her daughter who came along with her and helped me with her physical rehab. After every exercise I instructed her to do she asked, “Why do I need to do this?” She must have asked me this question 15 to 20 times in the course of 30 minutes.
“Your legs are weak and we’re helping them get stronger,” I said.
“Oh, shit on it,” she said. She asked me the same question again, “Why am I doing this?”
I decided to think of a different answer, “Something to do I guess.”
“Oh shit on it,” she exclaimed again. Everything was “oh shit on it.”
She walked into the clinic with a nice blue rolling walker with a seat and brakes. When I had her doing exercises in the parallel bars I asked her how she was doing with her walker. “What walker?” she said. When I pointed to the blue walker she walked in with she said she had never seen it before and didn’t know what I was talking about. Later as we ambulated with the same blue walker she tried to run away from me and said that she walked more than me throughout any given day and didn’t need to walk anymore. I smiled and gently agreed with her. To get her to walk 2 more laps around the track at the end of our treatment I asked where she grew up. She then began to tell me she grew up on a farm with her parents and two brothers. Amazingly, as she talked about her young life on the farm the confusion was suddenly gone.
Next time I see her we’ll talk about the farm again. Maybe she won’t run away from me.