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What Happened to Lee

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Re: What Happened to Lee

#51

Earlier quoted context omitted.

>> It was interesting to see for Lee how this seemed amplified after heart surgery. My Dad had really bad "post-operative delirium" for about a month after major heart surgery, and while he recovered somewhat, that was definitely the start of his major decline. That is a strange coincidence. Could changes in bloodflow have an impact on brain cells?

It might be the anesthetic.

There has been, for several years now, concern that general anesthesia may have a negative impact on the brain and, in particular, Alzheimer's Disease but also general cognitive damage.

Here's a 2018 piece discussing research from the Mayo Clinic focused on apparent anesthetic damage in patients older than 70.

https://www.sciencedaily.com/releases/2018/07/180719112024.h...

Re: What Happened to Lee

#52
If this story moves you, and you have the means, consider donating to CSF Leak research at Stanford.

Cerebrospinal Fluid Leaks are something that can completely mimic a large amount of FTD symptoms, and even in the care of utmost professionals, can be near undetectable - and somehow, treatment can be as beautifully simple as a one and done injection... to a hellish guessing game and years of attempts. As Dr. Ian Carrol of Stanford's research has indicated, they seem to be highly misdiagnosed/undiagnosed as well.

I know HN has had posts about CSF Leaks before. I truly believe they're one of the worst things we face in this age that can actually be treated with 100% recovery in some cases. However, for far too many, that really means nothing as they'll be sent to a psych facility, nursing home, or become homeless, and die as a whithered husk of what was once a human before they have the slightest indication of what is actually wrong with them, let alone make their way to one of the few places that truly treat the condition.

Re: What Happened to Lee

#53

Perhaps this is too philosophical, but for anyone who has dealt with someone with a long decline into dementia, it's very difficult for me to understand a belief in God after going through that (I certainly understand some people have the exact opposite reaction, so I'm in no way saying this belief is correct). It's just difficult for me to envision a crueler God if that is indeed the case. A person who has died long…

Not to be cruel, but the preexisting, running total of human suffering and tragedy in this world points to the fact that transcendent reality, the realm of God or a God, must have an alternative interpretation for human events, one which humans cannot fathom.

So for example, the tragedies which occur in your nightmares, after you wake, are given a different interpretation- the interpretation of "non-reality", i.e. it didn't really happen in some basic way that puts them into the category of "life non-tragedy".

From God's (or "a god's", for our dedicated atheists) POV, there is some enclosing context to the events of our lives that makes this mess we call reality "make sense". We don't have that perspective, so we think we suffer, pointlessly.

Along the chain from amoeba to goldfish to humans the understanding of events in our shared environment by each species changes. We think of that change as progressively achieving a "deeper understanding" of reality. The zinger in this recitation of prosaic facts is: your consciouness is not the last one in the chain.

This is what Christians experience (and think of) as "faith". Faith in the wisdom or sense-making of a transcendent God and His plans.

Re: What Happened to Lee

#54

Perhaps this is too philosophical, but for anyone who has dealt with someone with a long decline into dementia, it's very difficult for me to understand a belief in God after going through that (I certainly understand some people have the exact opposite reaction, so I'm in no way saying this belief is correct). It's just difficult for me to envision a crueler God if that is indeed the case. A person who has died long…

I truly feel for your loss. Two of my grandparents have gone or are going through dementia. I don't think that this has any bearing on the existence of God, however. Humans are the ones who have created such an overwhelming and toxic physical environment and disconnected social one. For God to truly endow us with free will, He had to allow us to fail, even this miserably, and to cause our contemporaries and descendan…

> Humans are the ones who have created such an overwhelming and toxic physical environment and disconnected social one

This argument isn't really theologically sound. If God exists, he's the one that created a biological system that allows for something as horrific as dementia. That literally has nothing to do with anything humans have done. It's pointless suffering.

> and to cause our contemporaries and descendants to suffer for our failures

Who's failures caused dementia? Certainly wasn't our ancestors fault.

Personally, I gain more comfort from the idea of an impartial universe, than a God who thinks this level of suffering is necessary.

Re: What Happened to Lee

#55
The way they describe this disease and his behavior, bending over backwards to keep him alive is just going to draw out the suffering of him, his family, his friends, etc. There's nothing bad on the other side of existence/nonexistence anyway, so why not just mercy kill what's left of the poor guy? It's either a quick and painless death or painful, slow disintegration from here on out.

Re: What Happened to Lee

#56
post #48
post #29

Earlier quoted context omitted.

If God exists, they are cruel and uncaring.

> If God exists, they are cruel and uncaring. I don't think anyone has the perspective to make a definitive judgement like that. The situation could be like a young child judging his parents to be cruel and uncaring for making him go to school, which he dislikes. There could be unknowns that would change the judgement if understood.

It feels a little bit condescending to compare the amount of suffering caused by things like dementia to an unruly kid who doesn't want to go to school.

Re: What Happened to Lee

#57
post #24

The question that occurs to me is: if you knew that was in your future, would you spend your last 10 good years toiling at a startup?

10 good years is a long time. As a founder I would guess he truly believed in the mission, at least before FTD took hold, and I think that kind of pursuit would be more fulfilling than a 10 year vacation.

Re: What Happened to Lee

#58
post #25

> The neurologists delivered their verdict: He appeared to have a textbook case of frontotemporal dementia—known by the shorthand FTD Oh man, was that a kick in the guts when I got to that bit. My Dad was diagnosed with that in the past year, (after obviously struggling for a while), and declined rapidly. He had a different variant, and indeed the one thing that DIDN'T change was his personality. In fact, that's what…

I'm so sorry for your loss.

Dementia and schizophrenia are present in my family as well and caring for those in the later stages has been really hard.

I found myself torn by the same question of whether to test for genetic predisposition. After reading The Gene by Siddhartha Mukherjee, whose author is in a similar position, I have found some comfort in deciding not to test for now. As he says in an NPR interview:

> There's no one-to-one correspondence between a genome and the chances of developing schizophrenia. And until we can create that map - and whether we can create that map ever is a question - but until I - we can create that map, I will certainly not be tested because it - that idea - I mean, that's, again, the center of the book. That confines you. It becomes predictive. You become ... a previvor (ph). A previvor is someone who's survived an illness that they haven't even had yet. You live in the shadow of an illness that you haven't had yet.

https://www.npr.org/2017/05/12/528097708/the-power-of-genes-...

Re: What Happened to Lee

#60
post #29

Perhaps this is too philosophical, but for anyone who has dealt with someone with a long decline into dementia, it's very difficult for me to understand a belief in God after going through that (I certainly understand some people have the exact opposite reaction, so I'm in no way saying this belief is correct). It's just difficult for me to envision a crueler God if that is indeed the case. A person who has died long…

If God exists, they are cruel and uncaring.

The universe exists to give us the opportunity to be selfless caregivers for our fellow human beings or be callous or even predatory towards those we deem "other" or "lesser". This why we each are born with a sense of morality, however molded from culture to culture and manifest from person to person, except in the rare cases of people, like Lee, that have physical pathologies that hinder it.

The non-pathological of us each have the free will to choose to self-evolve ourselves during our lives towards greater compassion for all those around ourselves, or to selfishly gather as much material pleasure as we can for ourselves regardless of the cost to others, be it monetary, emotional, or physical.

We are all actively evolving ourselves every day of our lives, for better or worse, even if all it amounts to is repetitively strengthening one's already accepted habits and attitudes. The exception being when disease or tragedy takes away our ability to rationally choose, as happens with people such as Lee. That is where compassion from our fellow human beings is part of the potential we must each welcome, for such is the moral requirement of being a human being.

We have been given what is both a great gift and a great responsibility with our free will and the mind required to learn and wield it justly and for the benefit of the whole and not just some preferred sub-group.

God is not a white man (full-disclosure: white guy here); It didn't give us free will only to then take it back from us because that means we can become, for example, callous, self-serving, corrupt, power-seeking, hypocritical fake-Christian deceivers of men.

No. The polarity of our morality extends to whichever direction the person can imagine. That is why we are both treasured above all creation and capable of the most brutal of atrocities.

We are free to be good or evil and that means we are also free to not give a fuck.

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