Going Downhill

April 2nd, 2026

I’m old enough to have had friends and family members die from chronic debilitating diseases. A sudden death is traumatic. I know this because one of my younger brothers died in a car wreck at the age of twenty-eight. But a slow death, one in which there is a gradual disintegration of mind or body, is agonizing. It’s like watching a slow-motion train wreck. The progress of the disease seems to be inexorable, and human efforts to stop or even to slow it down are often futile.

My mom died from Alzheimer’s disease. I have close friend whose father is suffering from the same tragic ailment. My friend’s father used to be a brilliant mathematician. Now he’s not. Now the man has great difficulty with walking up stairs and performing a number of other everyday tasks. The father, oddly enough, can still improvise music on the piano, but his other mental faculties are slipping away. My friend tells me that sometimes his dad is okay, meaning that his father hasn’t gotten any worse. The disease plateaus for a while and then continues on its negative path. There is not a smooth downward trajectory. The disease attacks the brain in fits and starts, but the overall direction is always clear.

I had two friends from work, both of whom died from cancer. One of them suffered from a type of blood cancer. The other had a brain tumor. Both of them received treatments, chemical and/or radiological. Each of them rallied for a while. I remember in visits with each of the two men how their wives would light up at any good news. The wives encouraged their partners and told them that they were getting better and it would be okay. My two friends did get better, but that was only a brief interlude, and eventually they both succumbed.

I had another brother who died from complications of alcoholism. Officially, he died of a heart attack, but it was more than that. He didn’t take care of himself, and I don’t think he wanted to live. His mental and physical decline were in many ways similar to that of somebody with Alzheimer’s. My brother would have a severe medical crisis, then he would recover, but he never quite recovered to the previous level of health. He always dropped down a step. I, along with many other people, hoped that he would turn things around one day. Other folks with addictions have been able to do that. My brother didn’t.

I sometimes speak of watching somebody else slowly die. I don’t think anybody actually just “watches” somebody whom they love die. To me, it is impossible to simply observe the destruction of someone else in a disinterested way. It’s not like going to see a Greek tragedy in a theater or binge watching a slasher movie on Netflix. The person who cares about the individual who is desperately ill is not just a spectator. That person is also a participant in the drama.

I am currently a participant in the struggle of a young person who seems to have the same disease as my brother. I love the person and I cannot separate myself from their suffering. I hope for their recovery, but I often feel completely helpless. I know I cannot save the individual.

So, what is left? There is hope. It is perhaps a forlorn and irrational hope, but it’s all I have. I cling to that hope despite all evidence that it is pointless.

That’s what I do.

A Backhanded Blessing

March 25th, 2026

She’s in jail. A person who I care about very much was incarcerated two days ago. It sucks. It’s really hard to give that event a positive spin. The person is looking at more than just jail time. They are staring at potentially years of prison. In many ways it’s a grim future.

On the other hand, it could be worse. I guess things can always be worse. The person is an addict. Their drug of choice is alcohol, although I am not sure that the word “choice” is accurate or appropriate. I think that for this individual the ability to exercise free will is much diminished. They aren’t in control of their habit. It is in control of them.

For weeks now, actually for years already, I have agonized about what this person would do next. My wife and I have lived in fear, a fear that this young woman would die. The person we love was unstable and sick, and with her anything was possible. We never knew what would happen. As I was told once, “The pattern is that there is no pattern”. That is the truth. There has been nearly constant chaos for as long as I can remember.

Now this person is in a location with structure and routine. She is relatively safe, well, as safe as person can be in a jail. Jails can be scary places. I spent just a few hours in a jail, and I remember quite clearly moments of raw fear. The only advantages of her being in a jail are that she probably cannot harm herself or others. Jail is not a good answer to her problems, but it is the only answer currently available.

The truth is that since this person was incarcerated, I have been breathing a sigh of relief. I am not as scared as I was just a few days ago. That does not mean that all is well. It isn’t. This turn of events brings new challenges for the young person and for everyone who cares about her. We’ll get through it together, but it will be hard. I look at the bottom line in this situation: she is still alive. Everything else is secondary to that.

It bothers me that in our society the best we can usually do for a person with mental health issues is to lock them up. We have a decades-long War on Drugs that has never had any real successes. Our country frequently blows up boats that may or may not be bringing drugs into the U.S., but we don’t make nearly the same amount of effort to understand addiction and its treatment. We only care about people with mental health problems when they inconvenience or endanger us. If a person decides to use a drug to quietly commit a slow-motion suicide, we are okay with it. We don’t care about the harm that addiction causes because we don’t care about the common good. We only give a damn when it hits home, and hits hard.

I prayed, and still pray, every night for the person I love. I prayed that she would survive. God answers prayers, but often in odd ways. Sending this person to jail is a backhanded blessing, but I’ll take it.