Well I Know Now with Pippa Kelly

Kitty Norton describes herself as a former “just about everything – from non-profits arts administrator to cabaret performer to post-production professional to crappiest daughter of the year award-winner for more than forty years”. She forfeited that last accolade when, six years after her mum was diagnosed with vascular dementia, and following the sudden death of her dad, she gave up her job with NBC in Los Angeles to move back to Oregon so that she and her sister could provide their mum with the best possible dementia care. To get her through this unplanned turn in her career, Kitty started a blog called Stumped Town Dementia. The blog brought her a temporary escape from dementia as well as countless virtual caregiver friends from all over the world who supported her with their understanding comments, emails and Zoom dates. When her mum died in 2021, Kitty decided she wanted to meet the virtual friends who had become so very important to her as she cared for her mum and, in her words,  “Sit out on a summer’s night, open a couple of bottles of wine, and find healing in the camaraderie of a fellow dementia caregiver”. She then went and did just that. The result is an incredible 90 minute film charting the 75 hundred miles and 27 states that Kitty covered in 26 days. Wine, Women and Dementia has already been garlanded with awards. It’s produced by some serious professionals and features caregivers Kitty encountered through her blog, including former Well I Know Now guest and host of Daughterhood, the Podcast, Rosanne Corcoran. Like Stumped Town Dementia, Wine, Women and Dementia pulls no punches. Its protagonists, the caregivers, are strong, articulate women with fire (and possibly the odd drop of rose or Californian white) in their belly. It’s a rollicking, funny, sad, informative, supportive must-watch for all family caregivers, for policy makers and anyone remotely interested in dementia – or perhaps, simply for everyone. You can find information on when Kitty’s film will be available here in the UK at the website https://www.winewomenanddementia.com/ and you can find her blog at https://www.stumpedtowndementia.com/Wine, Women and Dementia will be available online in support of Dementia Action Week, May 13-19. Registration is free or, if you are able to support the film's continued outreach to family carers, a donation would be very welcome.

This episode is dedicated to Tony Husband, who appeared on my show not once, but twice – which, in itself, is testament to the man’s generosity of spirit and dedication to raising awareness of dementia.  After Tony and I had recorded our first podcast, I said that, for me, Tony was all about creativity, humour and love, and I’d stand by that.  “Life,” Tony once said, “is about laughing”. For the prolific cartoonist, that was absolutely true. He used his dark humour to investigate life’s paradoxes and frustrations, making the complex business of living seem simple. Through a few carefully chosen lines, Tony summoned up the most profound human experiences, including what it means to live with dementia.  And, when his own dad succumbed to vascular dementia in 2011, he brought his considerable skills to bear on this most cruel of diseases. One night, after his dad’s death, Tony began to talk to him in his studio as if he were still there, asking Ron what it had been like to live with the condition. He recorded the conversation in cartoons on A4 paper which were later turned into his book, Take Care Son – the last words his dad ever spoke to him.  Tony’s was a phenomenal talent and he used it to its full and to the very end. He died on his way to a leaving lunch at Private Eye, the satirical magazine for which he drew his famous Yobs strip for 37 years. I think Tony would have enjoyed the irony in this and definitely made a cartoon out of it. With me to talk about Tony, his kindness, compassion, wisdom and wit, is dementia campaigner and founder of Exeter's Dementia Action Alliance, Gina Awad. Gina knew Tony far better than I did; she collaborated with him for many years on different dementia projects including the Shining a Light on Dementia calendars and the book, United: Caring for Our Loved Ones Living with Dementia. Tony's friend, the poet and broadcaster Ian McMillan has also contributed, as has Tony's son Paul, and I will leave the last word to Paul: "My dad made people who are struggling start smiling again, and I'm proud of him".Tony and Gina's book, United: Caring for Our Loved Ones Living with Dementia is available on Amazon. 

Wendy Mitchell is quite simply one of the most impressive people I have ever met. Diagnosed with Alzheimer’s disease nine years ago at the age of 58, after an initial slump into depression, Wendy has since devoted her time and precious energy to raising awareness of dementia, frequently appearing on our broadcast media – she’s a familiar face on the Breakfast Time sofas – and speaking at major conferences. Wendy’s blog, Which Me Am I Today remains one of my favourite reads and, in writing it, she’s created her own paper memory, something that has enabled her to produce two Sunday Times best-selling books about dementia, Somebody I Used to Know and What I Wish People Knew About Dementia – both written in collaboration with journalist Anna Wharton. This summer, Wendy’s third book, One Last Thing, was published to great acclaim. As with all Wendy’s writings, it comes from the heart and is honest, insightful and highly readable. Which, given its subject matter, is no mean feat. For One Last Thing deals with that most feared of subjects: death and dying. Though, as Wendy says herself, since her dementia diagnosis, she doesn’t fear anything anymore, including death. In her book Wendy turns her mind to the serious matter of her future – which, as it does for all of us, involves her death – in order that she may fully appreciate living now. She explores this knotty, difficult topic through conversations with different people, including friends living with dementia and experts in various aspects of end of life, such as the legal practicalities and medical choices here in the UK.Often, she turns the spotlight onto herself: “As dementia dilutes my personhood,” she writes, “I cling to those things that make me who I am – a mum, a blogger, a walker and a photographer. For me, once those parts of me have been taken by this cruel disease, I’ll have lost my personhood and would prefer death to an existence of snapshots of joy, as the time spent in confusion would far outnumber those moments”.  Useful contacts:Wendy’s blog can be found at https://whichmeamitoday.wordpress.com/  and her latest book, One Last Thing, How to Live With The End In Mind, published by Bloomsbury, is available on AmazonDiscover more about advance care planning advocate Clare Fuller and her services at https://speakforme.co.uk/My Future Care Handbook, an interactive book that helps people plan for later life: https://myfuturecare.org/

My two guests this week are passionate about improving life for people living with dementia, particularly through the education and training of those who support and care for them. Dr Keith Oliver is an expert by experience – 13 years’ experience, having been diagnosed with Alzheimer’s in 2010, aged just 55 and forced to retire after 33 years in teaching, latterly as a headteacher. Prof Claire Surr, Professor of Dementia Studies and Director of the Centre for Dementia Research at Leeds Beckett University, has attracted global recognition for her research and leadership in dementia education and training for the health and social care workforce. Dr Oliver’s roles and work within the dementia sector are almost too many to mention, but here’s a flavour, starting with the honorary doctorate he received in 2021 from Canterbury Christ Church University.Keith Oliver has authored or co-authored four books on dementia since being diagnosed. He is an Alzheimer’s Society Ambassador, a Kent and Medway NHS Trust Dementia Envoy, a member of the 3 Nations Dementia Working Group and a founder member of the Young Dementia Network. It’s worth noting that the definition of young onset dementia is when it affects someone under the age of 65. Keith is often to be seen and heard on television and radio and at national and international conferences, and regularly contributes to newspapers, magazines and professional publications. He recently contributed to an Open University Publication entitled Education and Training in Dementia Care – a Person-Centred Approach, co-authored by Prof Surr. Forming part of the Reconsidering Dementia series, the book is a deep dive into the complexities of this once neglected subject. Like all the other books in the series, as well as being scholarly, it spells out what the theories actually mean for those at the sharp end, such as people living with dementia, their families, those working in dementia care, policy-makers and professionals.  Prof Surr’s career has centred on the delivery of truly person-centred care for the 70 to 80pc of care home residents who live with dementia, with a specific interest in supporting care home staff in their roles and methods, and evaluating their impact. Most recently Claire has been involved in researching cancer care for people with dementia.Education and Training in Dementia Care – a Person-Centred Approach, an Open University Publication, is available from Amazon.

I am sure that many people listening to my podcasts will be aware of two ground-breaking medical breakthroughs that have occurred in recent months. These are the immunotherapy drugs Lecanemab and Donanemab, which is shown to have slowed the decline in memory and cognition of people with early stage Alzheimer’s disease by up to 40pc. These drugs do not, like others before them, merely mask the symptoms of Alzheimer’s, which accounts for over 60pc of all dementia cases – they modify the disease itself. They bind to the Amyloid plaque that builds up in the brains of those with Alzheimer’s, triggering the body’s own immune cells to remove the destructive plaque. My guest, Dr Richard Oakley, the Alzheimer’s Society’s Associate Director of Research, has described the arrival of Donanemab as a turning point in the fight against the disease.Dr Oakley says that treatments like Donanemab are the first steps towards a future where Alzheimer’s could be considered a long-term condition. People may have to live with it, but they could have treatments allowing them to manage their symptoms and continue to live fulfilled lives. The big question is: if the drugs become available in the UK, will the NHS be able to deliver them to those they would most benefit?

In her native America, Lori La Bey has been recognised for her tireless work to improve the lives of those with dementia through creating, discovering and making accessible a wide range of resources. She has been hailed as a Health Hero by none other than Oprah Winfrey and championed as an Architect for Change by the former First Lady of California, Maria Shriver.Since walking away from a successful career in real estate in 2009, Lori has launched America’s first radio station dedicated to dementia – indeed, Alzheimer’s Speaks is believed to be the first dementia radio station in the world. Global first or not, Alzheimer’s Speaks gives a voice to everyone, allowing people and companies from throughout the world to share their business and educational resources, products and advice. While a Dementia Map provides a worldwide directory of blogs, relevant enterprises and events to which individuals and companies can sign up to make their offerings available to a wider public. Lori was instrumental in creating America’s first dementia friendly community in Watertown, Wisconsin in 2013, three years later she launched one of the country’s first memory cafés in Roseville, Minnesota. Her webinar series, Dementia Chats, sees the real experts – those living with the condition – offering their invaluable advice.  Recently, her children’s book, Betty the Bald Chicken, co-authored with Scott Carlson, was published. As with all Lori’s dementia work, the book is inspired by her mother’s 30 year struggle with Alzheimer’s and her own caring role. But it’s not limited to dementia, Betty’s story applies to virtually any situation in which someone finds themselves on the outside, struggling to fit in and not being understood. It teaches people of all ages that we have much more in common than sets us apart.“We need to shift how we care for one another and ourselves from crisis to comfort,” Lori told Maria Shriver. “We need to give hope and support to families and professionals alike, through open conversations, shared life stories and lessons learnt. Dementia is not a disease of one but of society”.