I belly up to the computer desk today with ambiguous feelings.
Over the last couple of months, I have realized some fairly heavy facts. While I have known all along that I have been suffering with ostensibly, what we have characterized as “brain fog” many times in the forums. I can remember many a time that we have had illuminating discussions, and compared notes on what anecdotal trials we have employed over the course of time. Once, a long time ago, a few of us were giving Alpha Lipoic Acid a good college try, but I truthfully never got any measurable benefit for myself.
I have rather been insidiously declining over the course of several years, only with a more notable momentum in the last few months. After years of complaining about my symptoms, the nice little neurology boy (I swear he looks like he’s twelve), finally threw me a bone, and apprised me of the fact that he had at last concluded that I have “HIV Dementia”
The story has since taken a twist to its plot. A couple or so months ago, I decided to do a smidgen of research, aside from what I had been able to glean from our site.
Complete streams of thought go poof, I lose words mid-sentence, and couldn’t tell you what I did yesterday much less this morning. It is incredibly frightening, because I still have access to my intelligence, and realize that this is so not going anywhere soon. The new thing that has been happening infrequently, is inability to swallow sometimes. I have to stop completely, take a breath, and concentrate really hard in order for it to happen. Just an interesting tidbit for your edification.
I always had it in my mind that some of the articles I’ve read over time have intimated that things can be all cool again, ‘cause we have these drugs that cross the blood brain barrier. Neato….. …… so all I have to do is be faithful with my drug regimen, and things will be peachy. Unfortunately the damage was done way before I was changed to the current regimen that contains AZT. Just yesterday I saw an article on our daily news thingy, that says not only does the virus directly impact the neurons, it also keeps your body from utilizing the available auto-stem cells for reparation.
Bottom line is, it is doubtful that I will ever regain the aspects of my brain/personality that have been lost. My spontaneity has all but left me, my sense of humour is significantly stunted.
Talk about a joy-kill!
But worse than that, is the knowledge that I know it is happening, and I can’t really do anything about it. I really miss me. Very much.
There is some literature that purports using Ritalin is sometimes useful, but I cannot gain access to it to find out. Even if I could get boy-wonder to prescribe it, I couldn’t afford it. Hell, I can’t afford anything at this moment in time.
Wish I owned stock in the Post-it company, as I leave little love notes to myself in some pretty strange places. Despite the notes, I still can’t figure out why I felt it necessary to write it in the first place.
I am really afraid of my up-coming adventure to San Francisco, but am quite pleased to have my friend Jerry to hold my hand. I am actually fearful of becoming lost in the airports. There is also mounting concern about my ability to remember the names of the newer faces I am going to kiss, and romp with.
I will proffer this example; I pulled up the forums yesterday and did some reading. I found one thread that piqued my interest, and before I could pull up the reply screen the whole thought was completely gone. I cancelled the window, and took another five minutes to even find the thread again.
This is some scary shit.
When I become a doddering idiot will I even know the difference? Deep huh?
Today is a complete bust. A total aids day. Nothing specifically wrong, just kinda feel crappy all around. Walking around the house in circles. Not knowing what it was that I was going to do in this room when I get there. So I go back to the room I started in, just to see if the idea will come back.
I think my success rate ranks in the low end of forty percent of the time, but I can’t remember for sure. Just another aids day.
The cool part is, that tomorrow I won’t remember it.



Comments (16)
Lisa,
You have always impressed me - from the first day I spoke with you.
I'm sorry to see this happening to you.
I have no words of wisdom, just hopes that you will be able to remember how much you are loved by many of us.
Posted by Iggy | August 21, 2007 10:23 PM
Posted on August 21, 2007 22:23
Lisa,
I've had the same problem....maybe not quite so severe....for about five years now...and was also diagnosed w/the beginning stages of HIV dementia. I didn't let the diagnosis bother me as I always felt they were wrong...as i've been diagnosed with the wrong condition many many times over my life. I totally understand your hopes being dashed by the news about the brain damage being irreversible...as I am also concerned. I'm currently on disability and my only true dream for the future (& a life of normalcy) is going back to college...but was waiting until the "brain fog" lifted. Now that this new news has come out I'm just not sure about whether that's going to be practical or not. I'm writing you though to say "don't give up hope". That's the only thing that us people with HIV/AIDS have. Hell....many of us have lived way over the time originally expected. My "brain fog" has gotten much much better over time....so take your med's, count your blessing's, try and enjoy life as much as possible....and try and not give up on hope.
Take care of yourself.
Jeffery
Posted by Jeff Parks | August 23, 2007 8:45 AM
Posted on August 23, 2007 08:45
Thank you both gentlemen. I appreciate your thoughts.
Posted by Lisa | August 23, 2007 7:11 PM
Posted on August 23, 2007 19:11
HI lisa,
I identify with what you have to say,
I was highly functioning Ad Agency exec in NYC-
I feel like I'm operating at 1/100th of my capacity now. That "brain fog" is very accurate description. I take Effexor, an antidepressant and it helps somewhat, I can tell the difference as I - in moment of madness- decided I wanted to get rid of any/all drugs - and went off Effexor for a 6 month period - WRONG - thing for me to do - brain fog became brain blackout- forgetting whole sentences, staring into space in frontn of computer. mind wandering off on tangents.
Hang in there, I find I need to accept my slower pace of life, and adjust my work schedule accordingly - I leave lots of time for naps. THe money part is still a big challenge.
Big Hugs
Scott
Posted by savannahscott | August 24, 2007 4:51 PM
Posted on August 24, 2007 16:51
Lisa,
Hang in there!
I'm rooting for you!
Sincerely,
Sara
Posted by Sara | August 27, 2007 4:16 PM
Posted on August 27, 2007 16:16
Lisa,
I am sorry this is happening to you honey. I hope something can be done to at least slow it down; I understand your fear and frustration, and am experiencing it myself, but to a lesser degree than your own.
We may forget a lot of things..but I don't think I could ever forget you!
love,
Alan
Posted by alanbama | August 29, 2007 3:13 PM
Posted on August 29, 2007 15:13
I just wanted to write a note to tell you that you can function even with HIV dementia. I was diagosed in 2000 and I see changes periodically that make me modify how I live my life. It is frustrating like you said when you go into a room in your place and can't remember what or why your there. I just go back to where I was last and look for clues as to what may trigger my memory. Sometimes it works. I have the most difficulty if I don't write it down. On bad days I carry a tablet to help me function. Maybe that would help you. Take care and I can sympathize with your emotiions and frustrations.
Ron
Posted by Ron | August 29, 2007 3:24 PM
Posted on August 29, 2007 15:24
Lisa, I can relate completely with your issues. At one time my kids urged me to try out for Jeopardy!, but now I'm lucky if I can even answer half the questions (actually, question half the answers.) I'm far more glib with the written word than with the spoken; I lose my train of thought when speaking to folks in a meeting or even at home. At least at home I am forgiven. I feel, but don't see, fingers pointing at me, identifying me as someone with a brain gone to mush.
At one time I thought that perhaps I was smoking too much weed but haven't seen the stuff in months. My thoughts are slowly coming back to me but I just think it's old AIDS. Adderall, rather than Ritalin, has been a little help. There's a generic equivalent of Adderall and I have my doc prescribe twice the amount & I break it in half. It's actually reasonably priced, too. I make lists so I remember what I need to do. There's hope in stem cell research but will it come in our lifetime?
Posted by Tracy | August 29, 2007 5:06 PM
Posted on August 29, 2007 17:06
To Lisa and Jeffery:
Be not dismayed! I have been forgetting things for the last twenty-five years. About a year and ahalf ago, while attending an HIV-related seminar in New Orleans, this ordeal hit me like a ton of brick: I couldn't remember how to get from class back to my hotel room. I was scared almost to death. I meandered around for awhile and finally made it back to my room. I told friends about it, and they said, it was me getting old, that it happened to them all the time. I am fifty-four years of age. I received that explanation, but I did not accept it.
I began searching for explanations. After all, my excellent memoray had been my pride and joy. It allowed me to breeze through high school and college while th eother kid had to do something like study and get stressed out. My primary care physician wasn't any help either.
About three years ago, I began taking B-12 vitamons to increase my energy levels. I was taking a pill off and on once or twice a week. While thumbing through a local newspaper, I read an article where the writers was complaining about a memory loss problems. The responding physicial told of a condition known as "Pernicious Anemia". He explained that a naturally occurring, memory-related enzyme piggybacked in the bloodstream from point A to point B, and that when B-12 levels were low, this process did not occur and in some instances account for memmory loss. I doubled up on the number of B-12 vitamins I took. I don't know if it worked totally!
I last taught college thirty-two years ago. I had placed an application about four years ago before the onset of this condition. About three weeks ago, the college finally called me and asked if I still wanted to teach. I was afraid because of the ordeal with the memory. I went to the interview. The coordinator called me two days later (Thursday0 and said my first class was Monday. YOU TALKING ABOUT BIG TIME STRESS AND ANXIETY. What could I do but embarrass the living daylights out of myself?
Well! My first class was on August 20, 2007. The only difference now from in my heyday is that I have to prepare lesson plans to guide me and refresh my memory like the other instructors, something I didn't have to do before. I also have put forth effort to remember some facts and dates. The kids think that I am the funniest and most knowledgeable professor that they have ever seen. Occasionally when I use a word or date incorrect, they ask me to repeat, and I double check to insure that the correct information is given.
I read the hype about dementia and all. In spite of it, I am still the captain of my ship and the master of my fate. Like you, I know my condition, yet, I have not permit its existence to enslave me. I can emphatically say that I am actually better off after the diagnosis tyhat I was before. For instance, before, I went to the doctor every ten or twelve years. Afterward, I went every three months from 2002 through July, 2007. Now I visit every six months.
Keep a positive outlook! Remember that the last four letters of AmerICAN spell I CAN and not I CAN'T! Okay. Together, all of us are going to beat this thing.
P.S. Another caveat of my situation is that I was in the Army (active and inactive) for 21 years. The Army tested me positive in 1999. I was never told the test results. In April 2002 I contracted PCP and nearly died. When I complained, the military lied and said it informed me. Then, they arranged my discharge, without telling me. And when I tried to get my medical records, they were destroyed. U. S. Chief Judge Loren Smith in D. C. Court of Federal Claims (COFC) said that the army had not violated my rights and dismissed my case.
In my time of adversity, God placed his mantle around me, threw me back on the battlefield and dared the enemy to prevail against me. They haven't yet. I took God on his WORD. If you do the same, he has a miracle waiting for you too. YOU BETTER NOT THROW IN THE TOWEL!
Posted by Johnny | August 29, 2007 9:26 PM
Posted on August 29, 2007 21:26
Lisa, I think I am going through something similar. For the last few years, I've felt that I'm losing my memory too. Then I started reading about dementia, but I don't want to give in to that diagnosis. How is one diagnosed with that? Does the doctor give you a memory test? I'm thinking about going to graduate school, but fear is getting in the way. I'm 44 and feel that the brain is not up to it now, but I feel like I must try. It's almost like a fight now because I feel we must fight this disease in every way, not just by taking meds. So if my brain is weak then I need to exercise it. I'll just take one class at a time. Thank you for the post Johnny. Be blessed, Lisa
Posted by Adrian | August 29, 2007 10:44 PM
Posted on August 29, 2007 22:44
Dear Lisa:Well it looks like you still have a sence of humour,& your writing great blogs,thereby helping others who are in the same boat.My thanks & best wishes to you & yours,may GODBLESS U & yours with Peace,Love & happiness!
Posted by james gough PHA | August 30, 2007 2:15 AM
Posted on August 30, 2007 02:15
Lisa,
I am 55, in menopause and live in post-Katrina New Orleans. While HIV-, my memory is shot. It's not as difficult as what you are dealing with, but I have a glimpse. NOT FUN! I have a friend who finally entered treatment some years back because he was having similar symptoms of dementia as well as too many KS lesions to treat topically. He started AZT,3TC and Crixivan for about ten years. The dementia cleared up fairly quickly for him, (the KS too). I'm glad you have AZT on board. Crixivan is an old girl, but she does penetrate the CSF well and is potent. If it's possible to add it to your regimen, it might be worth a try...even temporarily.
Hang in, Dora
Posted by Dora | August 30, 2007 10:52 AM
Posted on August 30, 2007 10:52
Dear Lisa,
Your comment that you have lost you was the most telling in your courageous comments. As the parent of an HIV positive son, I have watched his temper fray much more frequently than it used to. I am the only one who knows of his condition in our family. I miss his wonderful self, too. In addition to feeling helpless as he travels this journey of being sick alone, I feel rage that our health care system is not what it should be for seriously ill people and that our government allowed HIV to spread through the Reagan years. Rather than just moan about all this, I have asked myself what each and every one of us can do to help spread the word, get more funding and pursue a cure. I think we should get the word out to everyone: Someone you know and love has HIV. Please don't give up hope. If we live long enough to become old, we will all lose our memory and the respect of younger generations ;)
Thank you for generously sharing your experiences with all of us, speaking from your heart and and helping others to understand a little of what you are going through.
Somebody's Mom
Posted by Somebody's Mom | September 1, 2007 10:04 AM
Posted on September 1, 2007 10:04
My name is david and sometimes my head seems like it's in a fog and have a hard time trying to make decisions on what to eat and how to prepare a meal. Has anyone had a similar experience?'
Posted by bedavid2 | September 2, 2007 2:02 AM
Posted on September 2, 2007 02:02
I can relate to Lisa's perdicament note my spelling with sad recognition I too am having episodes.With a nadir cd count of 9 I feel challenged on a daily basis forgetting who I have called,why I went into a room,peoples names and simple routines I am also going through the menopause it it is a sad premise that this disease which as wrecked havoc on so much my having a normal life will now force me a final indignation the lost of a fine mind!
Posted by deeva | September 18, 2007 1:21 PM
Posted on September 18, 2007 13:21
Lisa I don't know what you're talking about "losing your sense of humor" that post was really funny.
Posted by sdity | March 24, 2008 1:31 PM
Posted on March 24, 2008 13:31