While most people associate Alzheimer’s with memory loss, its effects on reasoning and behaviour are no less defining, and arguably more problematic. The doctor scans his notes from their last visit and asks if their nights are still “disturbed.” Once or twice a week, Julie explains, Lowell has been getting up in the middle of the night to pull all of the bedding onto the floor. He will build a pile, move it back and forth between bed and floor, and then cruise the condo, amassing blankets, towels, sofa throws, any covering he might suitably add to the lot. His compulsiveness is most pronounced in the morning; he’ll pace between rooms, asking basic questions repeatedly, and it can take a few hours for Julie to ground him in the day. Since his nocturnal behaviour has been comparatively short lived and benign, she tries to leave him be. Earlier that week, however, he worried that the condo might catch fire, and set about giving his mountain of linens a cautionary soak in the tub. Julie intervened. Defusing her husband’s puzzlement was preferable to dealing with a flood.
The doctor returns to short answer format. Does Lowell need help toileting? Occasionally. Incontinence? Rare. Exercise? ‘We get him walking every day,’ Julie says. ‘He’s a trooper.’
‘Troop, troop, troop,’ Lowell says.