Searching for hope

Man can live about forty days without food,
about three days without water,
about eight minutes without air,
but only for one second without hope.Hal Lindsey

How many times have you responded to “How are you doing?” with an offhand remark like “Oh, some days are better than others?” After all, life can be tough. A divorce, losing a job, or financial problems are never easy to overcome.

Now imagine that each and every day is a struggle. Very few days are better than the one before. That you have to search hard for hope in a seemingly hopeless situation.

For Adrienne Adams Komisky, this is now her existence.

Adrienne Adams voted Friendliest in senior class at Shelbyville Central HS. (Photo from Aquila yearbook)

She and I graduated high school together in Tennessee. She was beautiful, outgoing, and kind, voted “Friendliest” in our senior class. Adrienne was also a member of the National Honor Society so you can add smart to all the other descriptive adjectives.

Like many schoolmates, we connected on Facebook. As I began to follow her posts, I was astounded by her story. She was writing about her struggle with Corticobasal Degeneration.

Cruelest disease no one every heard of

I had to look that up. Like many, I had never heard of Corticobasal Degeneration. Perhaps because there are only 3000 cases worldwide.

“I am in the sixth year of a disease with a life span average of 6-8 years. I am convinced that prayer has kept me ‘upright’ but I am worsening and I am scared.”

As is often the case with a rare disease there are stark realities. The gradual loss of brain tissue and symptoms typically begin between ages 45 and 70. Initial issues include stiffness; shaky, slow or clumsy movements; and difficulty with speech and comprehension.

Other symptoms include:

  • Difficulty walking and balancing
  • Short-term memory problems, such as repeating questions or misplacing objects
  • Difficulty controlling muscles of the face and mouth
  • Progressive difficulty speaking and difficulty comprehending language

Symptoms related to muscle control usually begin on one side of the body and spread gradually to the other.

“My first indication was a decreased ability to type that I noticed in 2015. I had always been an extremely fast typist, and one day, I noticed that I wasn’t fast, that I didn’t know where the keys were, and I couldn’t get my fingers to do what I wanted them to do.  I actually looked at my fingernails to see if they were perhaps too long.  Then, a few days later, I couldn’t manipulate a fork and knife to cut a piece of steak.”

When Adrienne first began experiencing some of these signs, she was angry and confused. Doctors initially thought it was Parkinson’s disease.

“It took 18 months to get a definitive diagnosis of corticobasal degenerative disease. Similar to Parkinson’s they don’t know why and there is no cure. It attacks your limbs, first one and normally, eventually all. I have no use at all of my left arm. It is harder than you think to try to do anything with one arm. They call these neurological disorders ‘prime of life’ diseases because they strike mid-life.”

Facing tragedy

The year was 1974. The year we graduated high school has been referred to by some historians as the year that laid the groundwork for the future. Blazing Saddles, Young Frankenstein, and Godfather II were movie blockbusters. We listened and danced to Elton John, Grand Funk Railroad, and Chicago. We knew all of the words to The Carpenters, “Top of the World.” We felt we were on top of everything. Fearless and invincible.

Most of our classmates went to nearby Middle Tennessee State University. Adrienne took a different path. She left for Nashville to take a job at a bank. Over the years, she worked in apartment management, where she met her future husband, Steve.

“I worked there until we got married two years later. After our two sons, Matthew and Patrick, were born I was basically a stay-at-home mom, only working part-time at night so I didn’t have to put them in daycare.”

Adrienne’s world was first broken when her husband died just six weeks after a diagnosis of kidney cancer. They had been married for 27 years when the love of her life left her. She was devastated.

Grieving and another reality check laid ahead. She was now a single parent with two boys to raise.

“I needed to find something that I could do quickly and make some good money. I worked in real estate until I had to quit in 2019 because of my disease.”

Messages from the heart

Adrienne recently started a personal blog on Facebook. Sometimes writing can be cathartic. Her blog is profound and real. When we think our problems are insurmountable, it’s very uplifting to hear another side of a very personal story.

The following are some of the excerpts from Adrienne’s journey.

July 7
“There is nothing worse, I have decided, than having nothing to do and nothing to look forward to. Day after day is the same. I went from a full, almost too busy life, to napping every day just to get rid of a few hours. There are things worse than death.”

July 11
“I had a long, overdue breakfast yesterday with a dear friend. It was wonderful but not normal and when I shut my door at home, I wept. It was nothing she did. Instead, it was just so sad how different things were compared to our countless other lunches and dinners. I’m telling you never take your health for granted because it is the one thing money can’t buy.”

July 21
“A brief update after a visit with my neurologist yesterday. Nothing really of note because these visits are merely to track my symptoms and perhaps tweak my medicine.
One thing he said cut me to my heart, “This is the first time I’ve ever seen you not in high heels.”
My reply, “Because I’m trying not to die of a fall from a 4” pump but ohhh how I miss feeling pretty.”
It was another thing stolen from me by this wicked disease. I’m much more than a pair of high heels but just another piece of my identity stolen.”

August 1
“This past week has been challenging. I am determined to somehow post something funny and uplifting but it might not be today. Anyway, back to my week. I live with my son and his wife and their children. They went on a well-deserved vacation. I can’t really be alone because of dressing, cooking, etc. So, at only 65, I have to have a babysitter.
My Wednesday helper got sick and couldn’t come and I was alone. I had no dinner because I dropped it in the floor trying to get it out of the refrigerator with one hand. It was almost like playing house as a child because I could pretend that I was myself and normal, just me and the dogs like hundreds of other nights. But of course, it was just a dream that had a stark reality because I slept in my clothes because I can’t change a top with one arm. It felt good though for a few hours.”

August 27
“I miss hugging with two arms, driving, cooking, dressing myself, working, bathing myself, making my bed, shopping, playing with my grandchildren, feeling carefree, being independent, taking one pill a day instead of 20, putting on makeup, writing, and typing.”

Adrienne with her sons and grandchildren. She is a mom and a Mimi.

Keeping the faith

Recently, Adrienne began to lose mobility in her left leg. In the past year, her speech has become affected.

“I have moments of happiness but I’m like a stranger living in someone else’s body.”

Still, she counts her blessings.
“First of all, to my loving Heavenly Father who gives me strength, when I have none, to get through each day. When Steve died, someone said to me, ‘nothing takes God by surprise.’ So I have to hold on to that in this, too.”
Adrienne with her daughter-in-law Maria

Adrienne is also lifted by prayers from all who know her. She has a big, loving family including two sons who would do anything for her. She lives with her oldest, Matthew, and his family. Her daughter-in-law, Maria, dresses her and puts on her makeup every day. Her grandchildren kiss her good night and she loves on two sweet fur babies.

She is grateful for her team of doctors who work diligently to make her as comfortable as possible.
“I am embarrassed to say that I live most days without hope. I truly believe God could certainly grant me a miracle and I have found myself BEGGING Him for one. May I ask you to beg Him with me please or if not in His will, grant me peace.”

Facts and hope

There are no treatments that help slow the progression of corticobasal degeneration. Doctor may recommend medications to try to manage symptoms. Getting occupational, physical and speech therapy may help prevent falls and manage the disabilities caused by corticobasal degeneration. – Mayo Clinic
The cause of the disease is unknown. Scientists know that in some people, there is a large build-up of a protein called tau. Tau occurs normally in the brain, but we do not yet understand what causes it to build up in large amounts. Others may have a large build-up of amyloid plaques similar to those seen in people with Alzheimer’s disease. As more and more proteins build up in the nerve cells, the cells lose their ability to function and eventually die. This causes affected parts of the brain to shrink. – Weill Institute for Neurosciences, University of California San Francisco
The depiction of the brain on the left would be considered normal. The image on the right shows the shrinking of brain tissue with corticobasal degeneration. (Photo from Cureus Medical Studies)
Only 5 in 100,000, or between 60 and 90 people, will be diagnosed with corticobasal degeneration in a year’s time. It’s such a rare disease, it poses significant challenges to clinical diagnosis and treatment.
While there is no changing the facts, Adrienne has found some comfort in sharing her journey on her personal blog on Facebook, My Fight Against Corticobasal Degeneration.
She has also found a support group on Facebook. “It allows me to see the struggles of others who understand the daily burden of not being able to care for yourself and the impending end of life.”
In 1974 when everyone in our graduating class had hopes and dreams for the future, a beautiful young woman blazed her own trail. She suffered through the loss of her soulmate. She raised two sons as a single mom. She is a Jesus follower, a mom, and a Mimi to her grandchildren. She has a sense of style and can rock a hat like nobody’s business. Throughout her diagnosis and everyday struggles, which must feel insurmountable, she maintains a million-dollar smile.
For Adrienne, hope comes back to a miracle from God. For now, her faith and love from her family and friends keep her going.
For more information on corticobasal degeneration and support for patients and caregivers, these links are helpful: