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Blog Posted in avatar  Kevin Jess's Blog

Huntington's Disease Denial, a Personal Story in Progress

blog:3460:13::0
Posted Jul 29, 2009 by  Kevin Jess in Health 16 comments
Life with someone who has Huntington’s disease is difficult to say the least, but what if the victim of this disease is in denial? How does this affect the person afflicted and how does it affect the family and friends who are closest to them?
Realistically, I can only speak from personal experience as my wife is one of those who is in denial of this rare disease that afflicts approximately 30,000 people in the U.S. alone according to statistics on eMed.tv
This works out to be about 1 in 10,000 with another 150,000 at a 50 percent risk of having the gene that later develops into Huntington ’s disease.
According to Wikipedia, “Huntington’s Disease, also known as Huntington’s chorea, sometimes abbreviated as HD, is a neurodegenerative genetic disorder that is the most common genetic cause of repetitive abnormal movements called chorea. It was named after American physician George Huntington, who published one the earliest descriptions of the disorder in 1872.”
Since it is inherited, an affected parent has a 50 percent chance of passing it to each child and it runs strongly in families, often affecting several generations according to WebMD.
The ways HD affects different individuals varies, even in the same family but it’s progression is similar with the exception of speed of progression.
Symptoms can begin at any age, but for most victims onset begins anywhere between the ages of 35 and 44.
As the disease progresses past some movement and a gait that resembles someone who may have drank too much alcohol leading onlookers to believe that they are drunk, the most alarming symptom is that of choking. HD affects the ability to swallow and eating becomes a horror rather than what is a pleasure for most of us.
Presently there is no cure, nor are there any treatments for the disease. There are drugs available to ease the movements that afflict patients with HD according to HD Lighthouse. Research is ongoing and there are promising treatments now in clinical trials.
In our family’s experience it has been a nightmare. Denial is the rule of the day. It is not talked about or referred to in any way. Since it is very easy for a person with HD to become agitated and unreasonable it is a source for conflict that is often violent in nature so police had to be informed as well as professional caregivers.
Most nights are spent calming my wife down as dementia has been a constant occurrence. At times I spend nights pretending to toss incredibly large snakes out the door or put out fires and cure the odd sick child. I have learned that to argue would only mean more agitation on her part thus prolonging her agony.
Our family doctor is overworked but is sympathetic to our plight and has tried to make some headway only to have her shatter everything he tries by refusing tests or medications to calm down her mood swings. He calls it a “Shakespearean tragedy”. Here is a woman whom if she would face what she obviously has and accepted treatment for the symptoms could have a much better life but seems destined to misery for herself simply out of stubbornness and maybe even an inability to reason.
According to our family doctor, in Canada, it’s not easy to declare someone incompetent. The person must be able to answer three questions. What’s your name? What is the date? And, where are you? She can answer all three questions.
She still maintains a driver’s license but I have managed to convince her that the car has problems that could make her stranded so she doesn’t chance it.
She chokes most meals and drinks down, walks like a drunk and says inappropriate things during conversations with friends and family. All of these are hallmarks of the dreaded monster disease.
To describe the disease in terms that most can understand, I tell them this…imagine having someone in your house that has Alzheimer’s, Parkinson’s, and Tourette’s syndrome all at the same time.
In some South American countries victims of this disease are kept in makeshift jails in their homes as there are no services to help families deal with the unpredictable nature of the symptoms.
Due to her inability to come to terms with the disease many things in our household have had to change. I have to work from home, pay exclusive attention to her as paranoia makes her think that she is not a priority.
My 9 year old son doesn’t remember when she was “normal”. He doesn’t remember that she ran her own restaurant, was a beautiful painter, designed her own clothing and could cook like she should own a 5 star restaurant. She was also, and still is one of the prettiest women that I ever laid eyes on.
As for me, I am probably one the biggest enablers of all time; I brag up her cooking, her cleaning abilities etc. I still take her to dances. She loves that as we used to dance up a storm and we even won a few dance contests in our day. We loved to Jive. I try to hang onto what once was but sometimes I realize that the only woman that I ever loved, the one I’ve been married to since I was 18, and had three children with is gone, never to return.
Most people aren’t aware of HD, including medical professionals. The Huntington’s Society does it’s best by sending professionals, including medical and even educators information packets on the disease to increase awareness and understanding. This does help but there’s not much you can do inside the home.
I remind myself daily of my marriage vow of “for better or worse and in sickness and in health”. I meant those vows and will continue to keep them “until death do us part”.

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16 comments

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  • Jul 29, 2009 by  KJ Mullinsflagged as abuse - show comment
    #1
    One of the characters on House has the gene for Huntington's and her mother died from the disease. It is certainly not an easy one to due with. Hang in there.
  • Jul 29, 2009 by  Kevin Jessflagged as abuse - show comment
    #2
    Yes, I watch that show. I also cared for my wife's aunt and she died here in our home last April.
  • Jul 29, 2009 by  Michael Cosgroveflagged as abuse - show comment
    #3
    I could say "Courage" I could say "My thoughts are with you" and I could say a million other things.
    All of them are true of course, and I say them all the same, but I am painfully aware that they do not adequately palliate what you must all be going through right now.
    I formally salute the courage it must have taken for you to put up this post and I only hope that sharing your thoughts, and reading the messages of support you shall receive, shall give you just a little more strength to deal with this unimaginably difficult ordeal.
  • Jul 29, 2009 by  Kevin Jessflagged as abuse - show comment
    #4
    Thank you Mr. Cosgrove, coming from an old codger(sp) like yourself it means a lot.
  • Jul 29, 2009 by  Kevin Artherflagged as abuse - show comment
    #5
    WOW! I mean WOW! I never knew Kevin, you always sound so normal and evenly keeled. Not someone that is living with such a humongous trial. I will definitely remember you and your wife in my prayers. Always remember the helper that strengthens us to endure even the toughest burdens, I know you must be remembering. Very soon now you two will be like it was when you were 25 and no worries! All this will be forgotten about!
    Don't isolate yourself, be with the friends and call me whenever you feel like it. I don't care what time it is. (I sleep all the time anyway, this will give me a good reason to wake up)!
    You friend, the other Kevin (I'm glad you showed me this).
  • Jul 29, 2009 by  Cynthia Trowbridgeflagged as abuse - show comment
    #6
    I have heard of Huntington's Disease but never knew the extent of the symptoms or the severity of them.
    It is so sad for you, your children and other family members as well as friends.
    I commend you and any person who stays faithfully with their spouse and cares for them when they have any of these types of diseases that affect their mental state.
    I echo the sentiments of KJ and Michael and my thoughts are certainly with you and your family. Thank-you for sharing.
  • Jul 29, 2009 by  skeptikoolflagged as abuse - show comment
    #7
    This is an incredibly well told story and might have been better in the news area of the site instead of as a blog that so many ignore.
    I think I can fully understand someone being in denial of such a disease. I don't know how I would confront it in someone close to me, except to keep the person as active as possible. It's always useful to remember, That which is not used withers away
    Good luck to you both and your family, Kevin.
  • Jul 30, 2009 by  Carol Forsloffflagged as abuse - show comment
    #8
    Yes, a superior story. I want this man to be a writer among us and support his being able to do that again very soon. Links are a learning curve.
    This man's sensitivity and courage as well as writing skills are apparent.
  • Jul 30, 2009 by  Cynthia Trowbridgeflagged as abuse - show comment
    #9
    Agree Carol. I am sure you as well as myself would be more than willing to help him anyway that we can.
  • Jul 30, 2009 by  Kevin Jessflagged as abuse - show comment
    #10
    Thanks very much ladies...
  • Jul 30, 2009 by  skeptikoolflagged as abuse - show comment
    #11
    I just gotta get rid of my feminine side, I guess.
  • Jul 30, 2009 by  Cynthia Trowbridgeflagged as abuse - show comment
    #12
    Naw don't do that Kool ;-)
  • Jul 30, 2009 by  Kevin Jessflagged as abuse - show comment
    #13
    sorry, thanks to the guys too.
  • Jul 30, 2009 by  Leslie Hflagged as abuse - show comment
    #14
    Dear Brother. I had no idea that you dealt with something like this daily. My prayers are with you and your family. You are remarkable, so upbeat and helpful, yet struggling so hard. I will remember your story, and I did vote you up. Leslie
  • Aug 8, 2009 by  Christina Lopezflagged as abuse - show comment
    #15
    One of the problems with HD is that is destroying the very 'central ' control in the brain. Not only is there psychological denial but physiological denial, normal problem solving abilities are not there.
    My name is Cris Lopez. I've no real experience with older onset HD except the few affected people I've met in support group meetings. My experience is with juvenile HD. The CAG repeats are much higher and the disease becomes symptomatic before age of 20,
    So, Kevin I do understand so of what you are going through and this is one of the most horrific diseases ever, it's like having ALS, Parkinson's, Alzheimer's and add periods of schizophrenia in on top of it. I've also tried to deal with the legal terminology of having a loved one declared unfit only to have him released from the hospital to the street after 5pm on a Friday afternoon with his cash locked up at the hospital until Monday morning. At the time he knew how to call a cab, but at the same time he was determined to buy a horse and ride it to Oregon (we live in IL) and run a horse ranch.
    A short version of my story, my husband's first wife had HD, (juvenile onset) at a time when not much was known about it and it was a 'family secret.' We have buried 3 of their 5 children from HD all at around age 30. One of those children had 3 children, we adopted 1 (age24) another was adopted by another family member (age 19 or 20) and a 3rd was adopted outside the family (age 18 or 19) - all 3 were diagnosed before they were 18. All 3 had behavior and cognitive symptoms by puberty and we pretty much knew what we were in for.
    My son is now 24 and his disease is far enough along that I don't have to worry about him venturing to far outside now. He is too paranoid. It's a sad thing to be glad for the paranoia but it is safer for him.
    As for the mood swings and agitation, I'm missing work today because of that. He is on medication and does take it for me but his sleep habits are so erratic and there is no waking him when his is asleep. It has gotten to the point where I have to be available totally on his terms. I don't think I will be working out of my home for much longer, and this boy IS NOT going to die in a nursing home like his mother and uncles did.
    Kevin, my heart goes out to you and anyone dealing with this disease.
    I also want to thank those for a site like this to help and support each other.
  • Aug 18, 2009 by  Kevin Jessflagged as abuse - show comment
    #16
    Thank you for your comment, it's nice to hear from someone who has some understanding of a situation like this.

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Huntington's Disease Denial, a Personal Story in Progress
Life with someone who has Huntington’s disease is difficult to say the least, but what if the victim of this disease is in denial? How does this affect the person afflicted and how does it affect the family and friends who are closest to them?...
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