Thursday, December 2, 2010

Guest Blog Joe Sivak


I first started writing When Can I Go Home? back in 1989 when I was in my last year of medical
school. That was about a year after my mother died from Alzheimer's disease.
The book is a memoir about my mother's futile struggle with the disease. After she passed away
I had a tremendous need and sometimes furious drive to record the journey in a timeless and
permanent way. As a teenager, I had been my mother's primary caregiver for a few years , as
the disease progressively robbed her of her cognitive abilities, personality and her very essence.
At the time writing about it was very cathartic.
The disease process is profoundly isolating for families and I wanted to scream out and tell
the world. That element is there in so many Alzheimer's memoirs. Unfortunately the issue of
isolation has not improved in our society and much as we like to pretend it has in the last thirty
years since my mother was diagnosed. At that time most people had not heard of Alzheimer's
disease and of course now it is a household term, but as a society we are still ignorant and
terrified about it till it affects our own family. The isolation is still there.
The book is a bit unusual or even paradoxical from an Alzheimer's memoir point of view in that
It presents a dual perspective. First is a family caregiver specifically a teenager son, which is a bit
unusual and at times even bizarre, since that is not the prototypical demographic of a caregiver.
The other perspective is a clinical one from a physician. I have treated thousands of patients
and their families affected by many psychiatric and neurological problems including many
Alzheimer's victims. The clinical information is broken down and translated for the reader.
So you essentially have these two very different points of view sort of flip-flopping but sort
of coming into what I hope is a harmonious symmetry. The third aspect of the book is an
underlying and ongoing commentary on all the relevant sociological and psychological issues
this book interfaces with. Such issues as the state of health care delivery, being a doctor, and
the aging population are addressed and sometimes not in a very convenient way for those
that need to hold onto pretense and prejudice for security. For example as a society we really
don't treat the aging population with the honor and dignity they deserve. We are pretty much
obsessed with youth and appearance. We also have a lot of bias toward the medical profession
if not at times completely vilifying the field. So in that sense speaking candidly about things
albeit my opinion yet based on experience may open the readers eyes, on some issue conversely
it may propel some to try to look the other way even more. It's not always politically correct, but
it is a memoir and it is honest. It is sort of visceral, some people will cry some will laugh some
will get more angry, it makes you feel first, then think.
The manuscript was hard to finish, it lay dormant for some fifteen years, I never had an ending.
Even after the death of an Alzheimer's victim, there is never an ending for the five million
families affected by the disease. something hit me, after all these years. We are all universally
humanly connected by this disease process, and I had the clarity to finish this book.
I love writing, but most of my energy and creativity is spent in my day job. I am currently
working on a novel about psychiatric residency. Fiction is obviously a much different prospect
than a memoir but it taps a different part of your brain and soul to create something like this
compared to a memoir.

Joseph J. Sivak MD
twitter @whencanigohome

Book Info: The true life account of a young man living with the diagnosis of Alzheimer's disease in a parent. The disease was diagnosed in his mother when the author was seventeen years old in 1979, long before Alzheimer's disease was a household term.
The book candidly traces with graphic detailed description and dialogue the course of the fatal illness. The emotional issues of such pivotal events as the loss of autonomy of driving a car and entry into a nursing home are experienced through the eyes of a young son. From a concurrent viewpoint Alzheimer's is explained with the wisdom of a 21st century physician who has personally experienced the emotional anguish, and thus the fact-based journey is a truly unique dual-perspective Alzheimer's memoir. The story juxtaposes the active uphill battle to become a doctor set against the backdrop of the passive helpless struggle of losing a parent to the disease
The narrative provides explicit commentary on the modern plight of the physician and the global connection family members of an Alzheimer's victim painstakingly share. The unusual, seldom before elicited insights of the dual-perspective vigorously address universal issues such as coping, hope, futility, humiliation and societal bias toward the disease throughout the text. About Joe Sivak: Joseph J. Sivak MD is a board certified adult psychiatrist with twenty years of experience in direct patient care. He has taught and lectured in the United States and internationally in the areas of Post Traumatic Stress Disorder, Mood disorders, and chronic suicidal ideation. He completed medical school at Hahnemann University School of Medicine in Philadelphia, and Residency Training at the University of Rochester. Dr. Sivak has served on the Board of Directors of the Minnesota Alzheimer's Association and the Northland Chapter of the American Red Cross and hosted a weekly mental health Radio Program for eight years on KUWS- Wisconsin Public Radio. Currently Dr. Sivak serves on the legislative committee of the Minnesota Medical Association, is a assistant professor at the University of Minnesota-Duluth College of Pharmacy and is in full time private psychiatric in Duluth


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