Postcard From
Sacramento
Alzheimer’s ‘Looks Like Me, It Looks
Like You’
Pam Montana, 62, was diagnosed with
early onset Alzheimer’s in 2016. She is now an advocate for research and early
detection. “Alzheimer’s looks like me, it looks like you, it looks like
everyone,” she says. (Ana B. Ibarra/California Healthline)
SACRAMENTO,
Calif. — Until last year, Jackie Coleman was a disability rights lawyer — a
good one, too.
“I was
an excellent attorney,” recalled the 63-year-old Rancho Cordova, Calif.,
resident who loved her job and was proud of the work she did.
But a
little over a year ago, she started to forget appointments and details from
meetings, and began to depend heavily on her secretary. Then she started making
mistCakes. Ultimately, one got her fired.
Two
weeks later, she got a diagnosis: early onset Alzheimer’s disease.
Coleman,
dressed in purple — the official color of the Alzheimer’s advocacy movement —
recounted those awful days while attending an Alzheimer’s panel discussion
Monday night at the California Museum, near the state Capitol. A small,
soft-spoken woman with shoulder-length hair and round glasses, she attended
with her more talkative friend and roommate, Joyce Irwin, 60.
The
women said they’d cared for each other for the past three years. Irwin, a
three-time cancer survivor, said her late husband had dementia and mother
likely did, too, though she wasn’t diagnosed back then.
Sponsored
by the Northern
California and Northern Nevada Chapter of the Alzheimer’s
Association, the event was part of an initiative to highlight the disease’s
impact on women, who account for two-thirds of people living with Alzheimer’s
and two-thirds of those caring for them.
About
630,000 people have Alzheimer’s disease in California, and women in their 60s
have a 1 in 6 chance of developing the disease — almost twice as high as
the risk of developing breast cancer.
Before
the formal discussion got started, one of the speakers, Pam Montana, told a
reporter a story not unlike Coleman’s: She had been a sales director at Intel
Corp. before being forced to retire early because she couldn’t keep up with
workplace demands.
Despite
her Alzheimer’s diagnosis in 2016, she’s upbeat and funny — not “your grandma
in a wheelchair” that some people associate with the disease, she said. The
lively 62-year-old sometimes introduces herself by joking that she’s not
Hannah’s mom — a reference to the once-popular Disney show “Hannah Montana.”
Sporting a stylish bob and an elegant black dress with white stripes, she
confided that her disease has done nothing to keep her away from Nordstrom.
“Alzheimer’s
looks like me, it looks like you, it looks like everyone,” the Danville,
Calif., resident said.
She acknowledged
some hard times. She cries and becomes frustrated easily. She no longer drives
at night, and during the day she only goes to places she knows, because
navigation apps are too confusing, she said.
Between
visits to the neurologist and numerous cognitive tests, it took about two years
for Montana to get a proper diagnosis. “It was so stressful waiting to hear the
diagnosis, [but] as hard as it was to hear the words, I was grateful to have an
answer,” she said.
A day
afterward, she decided to join the advocacy team at the Alzheimer’s Association
and share her story — while she still could.
“I’ve
never been more powerful than now,” Montana said. Inspired by the #MeToo
movement that encourages women to speak out about sexual harassment, Montana
wants to start a social media movement with the hashtag #IHaveAlz, to help
eliminate the shame that sometimes comes with the disease, she said.
Once
the event started, panelist Kaci Fairchild, a psychologist and professor at
Stanford University, told the audience of about 50 about the importance of
exercise — for the body and the brain. She also urged everyone to become
familiar with the10 early warning signs of Alzheimer’s, which
include poor judgment, personality changes and withdrawal from social
activities.
Knowing
these symptoms and getting an early diagnosis can buy families some time,
Fairchild said.
Panel
moderator Liz Hernandez, a former correspondent for NBC’s “Access Hollywood,”
said that had she recognized the signs of Alzheimer’s sooner in her mom, she
could have received care and resources earlier. Hernandez urged the mixed-age
audience to have conversations with their loved ones about the type of care
they would want if they were to be diagnosed.
“These
conversations are heartbreaking but they have to be had,” Hernandez said.
In Latino culture, for example, “it is
really hard to talk about money, but we have to ask our parents if they’ve set
aside money for care because it is very expensive,” she said.
Montana
and Coleman are still independent, and they have made lifestyle changes. They
eat healthier, exercise more frequently and engage in activities that stimulate
their brains.
Coleman
said she has gradually become more involved with the Alzheimer’s Association,
participating in volunteer activities. That’s how she learned about the panel.
To stay sharp, she works on puzzles and sticks reminder notes in spots
around the house. She still is able to drive — a good thing, because one of
Irwin’s arms is in a sling right now. Irwin pitches in by handling the driving
directions.
Montana
keeps a journal and writes a blog. Her
doctor had so many suggestions — practice yoga, hit the gym, learn a new
language — that it was almost overwhelming.
Montana
finally asked her which was the most important.
“My
doctor told me, ‘Do what makes you happy,’” she recalled during the panel, her
eyes tearing up. “And that’s what I would tell others. Don’t look at a list. Do
what works for you.”