Syndrome Part 31

He did.

"I can tell when I'm being blown off," he went on. "I have a very sensitive blow-off detector. But why don't you try a test? When you're out at the inst.i.tute, ask Van de Vliet or somebody why that mystery patient was terminated from the clinical trials. See if the question makes them uncomfortable."

"Why does that matter so much to you?"

"If a patient is dropped for no good reason about the same time they clamp down on information, I think it could be fishy. Beyond that, I cannot speculate. And while you're at it, I'd love the names of some other ex-patients. Anybody. I found a list on the NIH Web site but they're all encoded, so it doesn't do me any good. I just want to ask them if the procedure worked or not. It's information that's going to be made public eventually, no matter what. Come on, Ally, don't you want some testimonials?"

"Okay, look, I'll try to see if anybody there will give me any info."

She was realizing she was in a comfort zone when she was talking to him. Still, so much about him remained a mystery. He had always said his mother and father were both dead, but it was still suspiciously hard to get him to speak about them. She'd gotten the impression that he didn't actually remember his father. That was the part of his life that he'd always been the most closed off about. Either that or he was repressing some horrible memories.

"Thanks a lot, Ally." A pause, then, "Interested in getting together sometime?"

"Let me think about it."

She put down the phone with her mind in turmoil. She realized she hadn't asked him if he was "attached" but the next time they spoke, she was going to try to ease it into the conversation.

Chapter 12

_Tuesday, April 7

9:50 A.M.

_Ally steered her Toyota onto the ramp leading to the George Washington Bridge, the entryway to northern New Jersey. She was just finishing a phone call to Jennifer. She wanted her to take a look at the notes and blueprints for Bartlett's Gramercy Park project and scan them into their CAD program. After all the phone calls yesterday, she'd been too sidetracked to do it. Although Bartlett had declared he wasn't in any hurry, he had messengered a certified check to her office Monday afternoon. The project was a go. She wanted to get moving while everything was fresh in her mind.

Before leaving her apartment this morning, she'd downloaded a map from MapQuest and from it she had estimated that the drive up to the Dorian Inst.i.tute would be approximately an hour--give or take. She had begun the trip early because her mother's mind had been lucid the previous evening and she was hoping that interlude might last into this morning.

Unfortunately, it had not.

Nina was sitting next to her now, in full makeup but completely unresponsive, seemingly in another world. When Ally arrived at the Riverside Drive apartment to pick her up, Maria--now silent and uneasy in the backseat, reading a Spanish novel--met her at the door with a troubled look and shook her head sadly.

"Miss Hampton, I know she was all right when you were here last night, but this morning ... she may not recognize you. She'll most likely snap out of it and be okay later on, but right now she's just in a fog. It was all I could do to get her ready."

When Ally walked in, Nina was sitting in her favorite chair, dressed in her favorite black suit. Her makeup was perfect Thank you, Maria.

"Hey, sweetie, you look great."

Nina stared at her as though trying to place the face and said nothing.

She just looked confused and very, very sad.

Dear G.o.d, Ally thought, this is the first time she's completely failed to recognize me.

It was so disheartening. Last night, when Ally had come up to discuss whether or not she still wanted to explore Dr. Van de Vliet's experimental treatment, Nina had been completely cognizant. Ally had tried to explain the concept of neural tissue regeneration using stem cells, which was difficult since she barely understood it herself.

"Mom," she had said "this might be something that could reverse some of the damage to your... memory. At least keep it from getting worse. I know it sounds scary but everybody says the conventional treatments for what you have don't work very well or very long."

"Then let's go out there and talk to him, honey. Just come in the morning and take me. By then I'll probably forget everything you've said tonight."

How prescient, Ally thought sadly. Now Nina was just gazing blankly ahead, silent. Does she remember anything from last night?

For that matter, what was Nina thinking now? Was she conscious of the fact she was losing her mind? And what

about the ultimate question: do we want to live longer merely to be alive, or do we want to stay alive in order to do things? To be or to do? In her mother's case, she knew it was the latter. Nina had always been full of life, ambition, and projects. Would she want to go on living if none of those things were possible? You never know for sure about other people, even your own mother, but Ally suspected she would rather not live to see that day.

Now, though, was she even aware it was coming?

Ally thought back about the first signs. Nina hadn't yet turned sixty- five when she abruptly started having trouble remembering little things. She began forgetting where she'd put items, and she gave up on remembering phone numbers and dates. Initially it had just seemed like a lot of "senior moments" run together, very puzzling.

But then it got worse. She'd always loved music, and she'd always played the piano. She loved Chopin, especially the nocturnes. By the time she was sixty-six, however, she was having trouble remembering the names of her favorite composers. She also completely gave up trying to play, either from memory or with the music. When getting dressed one day, she put on her blouse completely backwards. It was bad.

Ally had taken her to see four different specialists and they all had concluded that Nina Hampton suffered from what was known as familial early-onset Alzheimer's. It was caused by a mutated gene and was extremely rare, representing only some 5 percent of all Alzheimer's cases.

There were two major drugs currently on the market, Exelon and Reminyl, that could relieve some of the symptoms of Alzheimer's by boosting the action of the brain chemical acetylcholine. However, Nina had not yet declined to the stage where doctors would prescribe those drugs. To resort to them was an admission you were at endgame, since they usually were effective only for a few months.