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The Forgetting: Alzheimer's: Portrait of an Epidemic

The Forgetting: Alzheimer's: Portrait of an Epidemic
By David Shenk

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Afflicting nearly half of all persons over the age of 85, Alzheimer’s disease kills nearly 100,000 Americas a year as it insidiously robs them of their memory and wreaks havoc on the lives of their loved ones. It was once minimized and misunderstood as forgetfulness in the elderly, but Alzheimer’s is now at the forefront of many medical and scientific agendas, for as the world’s population ages, the disease will kill millions more and touch the lives of virtually everyone.

The Forgetting is a scrupulously researched, multilayered analysis of Alzheimer’s and its social, medical, and spiritual implications. David Shenk presents us with much more than a detailed explanation of its causes and effects and the search for a cure. He movingly captures the disease’s impact on its victims and their families, and he looks back through history, explaining how Alzheimer’s most likely afflicted such figures as Jonathan Swift, Ralph Waldo Emerson,and William de Kooning. The result is a searing, powerfully engaging account of Alzheimer’s disease, offering a grim but sympathetic and ultimately encouraging portrait.


Product Details

  • Amazon Sales Rank: #515525 in Books
  • Published on: 2003-01-14
  • Released on: 2003-01-14
  • Original language: English
  • Number of items: 1
  • Binding: Paperback
  • 304 pages

Features


Editorial Reviews

Amazon.com Review
First attracted to his subject by its horrific ability to destroy the human mind and body, journalist David Shenk ultimately finds reasons to accept Alzheimer's disease--and almost forgive it--in The Forgetting. Shenk describes his work as a biography, the life story of a biological outlaw that sends victims "on a slow but certain trajectory toward forgetting and death." But his illuminating portrait of this growing epidemic offers more than a basic chronology. Shenk begins with the disease's christening in 1906, when German physician Alois Alzheimer discovered mysterious tangles and plaques in the brain of a dead woman who in life had suffered severe memory loss and dementia. The tale unfolds to reveal a host of intriguing players: struggling scientists (the clever, the bullheaded, and the pharmaceutically endowed), politicians divided by opposing priorities, exhausted caregivers, and patients whose biological clocks virtually tick backward over an average eight-year period. It includes impossible twists: longer life expectancies and successful treatments for other diseases mean more cases of Alzheimer's will inevitably occur. Shenk's graceful synthesis of personal accounts (from Plato to Reagan) with a century-long search for answers and cures leads him to an impressive conclusion. Perhaps Alzheimer's disease is much like winter: "Once it is gone, we'll face less hardship, but we'll also have lost an important lens on life." --Liane Thomas

From Publishers Weekly
With grace and precision, Shenk (Data Smog), a journalist and occasional NPR commentator, presents a lyric biography of Alzheimer's, "a condition specific to humans and as old as humanity." At one time, doctors thought senility, or dementia, was an inevitable fact of growing older. Now they know that Alzheimer's is a specific, formidable disease that threatens to reach epidemic proportions within the next 50 years. The disease is named for the neurologist who, in 1906, first noticed, in the brain of an autopsied patient, the telltale plaques and tangles that strangle the brain's neurons. Shenk presents a thoughtful and complex rumination on many aspects of Alzheimer's, including anecdotes about the memory loss experienced by Ronald Reagan, Ralph Waldo Emerson and E.B. White. He recounts the tales of caregivers, many of whom become clinically depressed and who, along with physicians, draw an analogy between the developing skills of a child and the decrease in cognitive ability that besets Alzheimer's patients. The author delves deeply into scientific research and explains that though there is as yet no cure, a recently developed vaccine holds great promise for the future. However, he warns, scientific inquiry could be impeded by fierce competition for research dollars. Doctors can now recognize an early stage of "probable Alzheimer's," which means that patients who are slowly sinking into its depths can understand their condition and its destructive path. Shenk movingly recounts a conversation he had with one such patient, who shares interesting ideas for rehabilitative conditioning to slow down his mental deterioration. Agent, Sloan Harris. (On-sale: Sept. 4)

Copyright 2001 Cahners Business Information, Inc.

From Library Journal
The price humans pay for increased longevity is a greater likelihood of developing degenerative diseases. Among the most devastating is Alzheimer's, predicted to reach epidemic proportions by midcentury. Journalist Shenk's "biography" of Alzheimer's disease explores the nature of the baffling plaques and tangles, discovered by Alois Alzheimer in 1907, that eventually consume the brains of victims, erasing a lifetime of memories. Notable sufferers whose stories Shenk tells here include Ronald Regan, Ralph Waldo Emerson, and Willem de Kooning; there are also personal accounts from the less famous he met in Internet chatrooms. Shenk also chronicles tales of driven researchers, hellbent to be the first to unlock the disease's secrets and the riches to be made by drug manufacturers hungry for a moneymaking cure. His engrossing book draws on an amazing array of scientific, historical, ethical, religious, mythological, literary, and artistic sources and is filled with fascinating characters and first-rate explanations of the science behind the disease. (His technical discussion of memory and other aspects of the disease is much clearer than Charles Pierce's in Hard To Forget, LJ 4/15/00.) A unique and welcome addition to any scientific, aging, or Alzheimer's collection.
- Karen McNally Bensing, Benjamin Rose Inst. Lib., Cleveland
Copyright 2001 Reed Business Information, Inc.


Customer Reviews

I was diagnosed with ALZ 3 months before reading this book.5
"Since 1975, the number of Americans afflicted [with Alzheimer's Disease {ALZ}] has risen from five hundred thousand to five million [2001]; over the next fifty years an estimated [fifteen million in the United States alone] will succumb to it."
In May, 2001, I went to my primary physician with some troubling symptoms of recent memory loss. He ordered a CAT scan, and referred me to my psychiatrist, who was supervising my intensive outpatient treatment of Major [unipolar] Suicidal Depression. The CAT scan depicted some small white areas, which could have been the result of undetected minor strokes or tertiary syphilis. Since neither was applicable to my medical history nor my life style, only the remote possibility of ALZ remained. The psychiatrist gave me the Mini Mental State Examination [MMSE], and I scored less than twenty-five. Based on the MMSE results, he then scheduled me for a battery of tests. My suspicions were confirmed: I now have a diagnosis of "probable ALZ" in the early or middle stages. I am now one of the "five million...When "The Forgetting" arrived, I sat down and devoured it from cover to cover in two days! This was most unusual, since two of the early memory symptoms of ALZ are my recent inability to finish a book cover to cover, or to pick up a book or article where I had left off, and continue on the textual journey.
This "magnificent synthesis of history, science, politics, psychology, and profound human drama" was written especially for me, someone newly diagnosed as "probable ALZ." "Delving into such diverse areas as art history, literature, genetics, and neurobiology" Shenk's "The Forgetting Alzheimer's" clear and concise exegesis continues to give me the data I require to comfort an unbelieving and devastated significant other, my spouse.
Like the forty-two stories contained in the newly-published "Fourth Edition of Alcoholics Anonymous," Shenk's marvelous treatise posits what it was like, what happened, and where the afflicted of ALZ are, and gives me experience, strength, and hope. The personal anecdotes, as well as the detailed case histories of Ralph Waldo Emerson, Jonathan Swift, Fredrick Law Olmsted, and Ronald Reagan, show me where I have been and what lies ahead in the early, middle, and final stages of ALZ.
Shenk's Yellow Brick Road stretches invitingly ahead of me, and has given me the knowledge and courage to face the challenge ahead: the inevitable, irreversible, and presently incurable ALZ which is now occupying major portions of my hippocampus. Knowing what lies ahead gives me the hope I need to face my confrontation with "probable ALZ." I do not need the false Sirenic lure of: "Maybe, just maybe, my diagnosis is incorrect."
Unlike Dylan Thomas, I propose to "go gentle into that dark night" of final ALZ, and with Shenk's "The Forgetting Alzheimer's" to "be by my side," I now have the data to provide care to/for my significant other, who is devastated by this insidious disease, which afflicts her husband, lover, and strong oak tree, as I go forward and downward into this long dark slide.
There are many, many, books and resources written for and available to the caregivers and professionals who surround those of us afflicted with ALZ. There are few and scanty resources that level with the afflicted party/client/victim. This slender volume meets my needs, goals, and thirst for data and knowledge, in language that is clear and succinct. As I write this review, I am rereading "The Forgetting Alzheimer's" again and again because my short term/working memory ain't what it used to be. With luck and repetition, I hope to implant it in my long term depository, which is currently functioning at an academic level, thank you. That I could finish reading "The Forgetting Alzheimer's" is the best testimony which I can render on its value, as I leave late early stage and begin to progress into middle stage ALZ.
L'chayyim!

A REMARKABLY MOVING AND DISTURBING BOOK!5
In our great-grandparents day, it was called dementia, in our parents time senility, now the terminology is Alzheimer's. Whatever you choose to call it, "The Forgetting" is a remarkably moving book due to the nature of the subject. Alzheimer's takes the form of regression, a pathology that mirrors child development in reverse. The disease attacks not only memory but the core of humanity. The disturbing fact of the book is that over the next fifty years between eighty and one hundred MILLION new cases around the world will be diagnosed. This book is highly recommended to anyone who has a family member or person close to them suffering from this traumatic disease. The author takes an inside look at the history of Alzheimer's, the lastest in research and hope for the future, and this is one of the most complete and up-to-date books written on the subject.

The Forgetting5
The Forgetting will (and should) become a classic on the subject of Alzheimer's Disease. It is at once a wonderfully educating and HUMAN book. This book has taught me more about AD than all of the books on AD combined (and I have read them all).
My mother has had Alzheimer's for 6+ years; it is most certainly "a death of a thousand subtractions". This book should be required reading first for ALL Physicians dealing with this disease and be required reading (at the physicians insistence) by every family that has a loved one(s) with AD;this book goes far beyond education of this disease. For the first time in all these years I understand AD better. While reading this book many "aha's" and "of course's" were spoken aloud by me.
My feelings and emotions were validated by The Forgetting during this long last goodbye to my Mom. I shuddered to read all of the steps to the unraveling of Mom's mind and how the end would be for her should she (God forbid) reach the very end of her unraveling. But, I appreciate this knowledge I have gained from this book so I can deal with Mom's death in a better way, an informed way. I am passing this book along to my brothers and to many friends of mine who have loved ones with AD. My thanks and appreciation (as well as my blessings) go out to David Shenk for writing The Forgetting. This book will bring revelations and comfort to all who read it.