Mrs
Misconceptions In Memory of Doris "Judy" Kassinger
The thing my mother regretted the most was that no understood
what she suffered from. Either they had never heard of it, or
they had their own misinformed view, or they didn't believe it
existed. Some people she met when she would go out would speak
to hear as if she was a child. Huntington's does not damage your
intelligence per se, but indirectly. The part of your brain that
we would consider having the IQ, the frontal lobe, isn't damaged
itself but affected by damage to other parts, mainly the basal
ganglia..
The best way to explain the behavioral and cognitive changes is
to picture a company. The boss is the frontal lobe, part of the
brain that controls high intellect. Part of the basal ganglia
called the caudate, which suffers the most damage, is the
secretary because it delivers messages from the senses and the
rest of the basal ganglia and organizes them The rest of the
basal ganglia is like a foreman for a work crew, as it controls
a lot of the muscle movements and receives some signals from the
senses, muscles and nerves. The muscles, nerves, and the rest of
the body can be considered your work crew.
With the basal ganglia, especially the caudate within it, being
the most affected, you have a company with a damaged foreman and
secretary. The work crew is sending messages about depth
perception, sight and sound, and things like the expression on a
person's face when they are teasing you. The secretary is either
not sending these signals the way they were received or is
disorganizing them. The boss cannot decide on an appropriate
response to the person talking to you that is teasing if the
secretary merely sends the exact words, but not the joking tone
or the smile it was said with. The boss might have no other way
to see it but that this person is verbally attacking them and
decide to become angry. And in cases the boss decides to stay
angry for awhile because the secretary does not give the message
that the responses have worked and it is okay to stop being
angry. The boss assumes that the person they are angry with
hasn't got the message yet, so it is not time to stop being
angry.
Also, people with Huntington's do not have exactly the same
memory problems as those with Alzheimer's. With Alzheimer's ,
both recognition and recall can be damaged. Not so with
Huntington's. Recognition is still there, recall is what is
damaged. This means that the information is still in the filing
cabinet, but the boss has a hard time finding it because the
secretary has no organization system. But as soon as you hand
the boss the information, in this case jog a person's memory by
giving cues, the boss immediately recognizes it, knows what it
is and understands it. It was just hard to pull up. This is why
if you ask a person with Huntington's what they had for
breakfast they may not be able to tell you, but give them
choices and they will. Without choices, the boss can't rely on
the secretary's filing cabinet to help find the right answer.
The boss has to run down the entire list of everything possible
to have for breakfast to find the right one. With choices, many
of the possibilities have been eliminated. This is also why it
is hard to make decisions when you have Huntington's. The boss
isn't getting enough information to make an informed choice
quickly.
So, to sum it up, if someone asks me if Huntington's damages a
person's intelligence, the answer is yes and no. It doesn't
damage your IQ, or the frontal lobe, so no. But it makes it to
where you cannot make the full use of your intellect, so yes.
If you wish to donate to help work toward's a cure, contact the
Huntington's Disease Society of America, information below. This
explanation was inspired by much research, a great deal of which
came from the HOPES group at Stanford University. If you wish to
contact me, reach me through my father's store at
www.bargainbedding4u.com . Just ask for Rachael
Kassinger-Waterbury.
Rachael Kassinger-Waterbury
Organizations Hereditary Disease Foundation3960 Broadway 6th
Floor New York, NY 10032 cures@hdfoundation.org
http://www.hdfoundation.org Tel: 212-928-2121 Fax: 212-928-2172
Huntington's Disease Society of America505 Eighth Avenue Suite
902 New York, NY 10018 hdsainfo@hdsa.org http://www.hdsa.org
Tel: 212-242-1968 800-345-HDSA (4372) Fax: 212-239-3430