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Thinking About Thinking with
Huntington’s Disease
How it might feel…
What we can do…
Thank you so very much!
• Lowell, Massachusetts
• Just north of Boston
Celebrated Natives
Especially grateful to be in Northern Ireland!
Before I begin…
• I don’t have answers. I have some ideas, concepts and
coaching that may help in your approach and soluti...
Preview
•
•
•
•

What it might feel like to think with HD.
The characteristics of thinking with HD.
We’ll do this by simul...
Please understand that…
• There are unlimited expressions of Huntington’s Disease
and they are always changing.
• But ther...
If you have Huntington’s Disease…
You’ll need…
• …a pen and paper.
• We’ll do a few exercises
to show you what it might
feel like to think with HD.
• Now’s ...
My objective
• Is not to tell you what you already know.
• Is to help you see it in new ways.
• Is to suggest new ways to ...
Characteristics of Thinking with Huntington’s
1.
2.
3.
4.
5.

Slower thinking
Recognition is easier than recall
Keeping fo...
If you want these Powerpoint slides
• Errol will e-mail them to
you; please leave your
name and e-mail
address.
• There’s ...
1. Slower thinking: What we know
• Fewer cells are working
well…
• …causing slower
processing…
• “Slower thinking”
• Behav...
1. Slower thinking: How it feels
•
•
•
•
•

You need a pen and paper.
When I say “Begin”…
“Write your name again and again...
1. Slower thinking: How it feels
• Count the number of letters that you wrote.

•
•
•
•

That was 15 seconds.
Multiply you...
1. Slower thinking: How it feels
•
•
•
•
•

Now write your name very slowly.
6 letters per minute.
1 letter every ten seco...
Here’s mine!
1. Slower thinking: How it feels
•
•
•
•
•
•
•
•

Want to continue?
How did that feel?
Tiring?
Have to concentrate?
Distra...
1. Slower thinking: How it feels
•
•
•
•
•
•

Exhausting…annoying…lousy…more effort
What was unconscious now becomes consc...
1. Slower thinking: When do we see it?
•
•
•
•

Delays in processing
Conversations don’t flow as smoothly
“That’s my Hello...
1. Slower thinking: How we can help
• Another story…
• Interrupting slow
processing may “reset the
timer.”
• People like m...
1. Slower thinking: How we can help
• Simply wait.
• It’s so difficult to do…for some of us.
• Waiting for slower thinking...
“Hurry up and wait! Aaaarrrggghhh!!!”

September 2007

Jimmy Pollard
United States HD Alliance
And if you’re the person with HD…
It feels like…
“Hurry up!!! What’s taking so long!?! Aarrrggghhh!”

September 2007

Jimmy Pollard
United States HD Alliance
Most seriously, though…either way…both ways…

…over the years…
…this is a profound
act of love.
Reminder buttons! …for your junk drawer!

September 2007

Jimmy Pollard
United States HD Alliance
2. Recognition is easier than recall.
• Huntington’s Disease is
not to be confused with
Alzheimer’s Disease.
• Accessing a...
2. Recognition easier than recall: How it feels
•
•
•
•
•

What is recall?
What is recognition?
They feel different. Let m...
Recognition feels like this!
2. Recognition easier than recall: How it feels
•
•
•
•

How did recognition feel…
Easier than recall?
When you see it and...
2. Recognition easier than recall: When we see it
• We can see it in ourselves.
• If you miss an examination in school, yo...
2. Recognition easier: How we can help
• Ask an open question, then wait...
• Ask a multiple choice question, then wait......
3. Keeping focus is difficult: What we know
•
•
•
•

“Divided attention,” doing two things at once, is difficult…
People g...
A volunteer, please?
•
•
•
•
•
•

Be comfortable!
You can’t fail…
You’re among friends!
We do not want to put you under an...
3. Keeping focus is difficult: How it feels
Say the colors of the word as fast as you can.

September 2007

Jimmy Pollard
...
3. Keeping focus is difficult: How it feels
Say the colors of the word, not what the word says, as fast
as you can.

Septe...
3. Keeping focus is difficult: How it feels
•
•
•
•
•

Difficult?
Confusing?
Did you have to lecture yourself while you di...
3. Keeping focus is difficult: When we see it
• Difficulty doing two things
at the same time.
• More difficult to “multita...
3. Keeping focus is difficult: How we can help
•
•
•
•
•
•
•

Go slow.
Minimize distractions.
One thing at a time.
Obvious...
4. Difficulty organizing, planning: What we know
• Difficulty, organizing, planning and sequencing…
• …both your thoughts ...
4. Difficulty organizing, planning: How it feels
•
•
•
•

A volunteer, please?
Put on this blindfold!
Please…
Now let’s ad...
4. Difficulty organizing, planning: How it feels
•
•
•
•

What was your plan?
Did you change your plan? Adjust it?
How did...
4. Difficulty organizing, planning: How it feels
• It’s more difficult to plan and organize your movement.
• It’s also mor...
4. Difficulty organizing, planning: How it feels
• One more volunteer?
• We’ll do mental arithmetic. It’s something that y...
4. Difficulty organizing, planning: How it feels
•
•
•
•
•

How did you do that?
How did it feel?
We all know how it feels...
Divide these numbers!

669 / 4014
623 / 17,444
248 / 43,648
1,233 / 38,223

September 2007

Jimmy Pollard
United States HD...
4. Difficulty organizing, planning: How it feels
•
•
•
•
•
•
•
•
•

Do you want to do them?
But are you able to do them?
C...
4. Difficulty organizing, planning: How it feels
• In review:
• The blindfolded strategy that pops into your head
• …and “...
4. Difficulty organizing, planning: When we see it
• Calculating the tip in a restaurant.
• “Now you know why it takes me ...
4. Difficult organizing, planning: How we can help
• Routine!
• Several KISSes:
– “Keep it simple, stupid!”
– “Keep it sho...
5. Can’t wait! What we know
•
•
•
•
•

Impulse control is a problem.
Lack of inhibition is a problem.
“Jim, you got a hair...
5. Can’t wait! When we see it
• If you have Huntington’s Disease, you often ask, “What’s
taking so long?”
• “When someone ...
Now let’s review these five characteristics…
•

First, slower thinking feels like…
• The fatigue and discomfort of writing...
Let’s review all the characteristics…
• Then the easier feel of recognition…

• …and how it might feel to live every day h...
Let’s review the characteristics…
• Then how it’s more difficult to stay focused in the face of
distractions…
• How diffic...
Let’s review the characteristics…
• As well as the difficulty to organize, plan and sequence
both your thoughts and action...
Let’s review the characteristics…
• Take all the ways we without HD feel when we simulate
these things…
• Layer them one o...
Let’s review the characteristics…
• Or might it feel like?
Might you feel like?

Scream (Skrik)
Edvard Munch, 1893
Norway
These characteristics cause conditions
Characteristics cause…
• Slower thinking
• Recognition is easier than recall
• More...
A Narrow Focus on What’s Next
“In dealing with my daughter, I can see where this
moment is the only one that is important ...
Condition: Narrow focus on what’s next
•
•
•
•
•

Might we not, through our behavior, be saying…
So much information…too m...
Condition: Irritability
• Changes in the brain impair controlling or modulating:
• Impulses to do things
• Expressions of ...
Condition: Apathy
• Absence of emotion, passion or excitement…
• …especially things that once interested them.
• Lack of i...
The Stress Response…
• Fight or flight?
• You might think of Flight as Apathy and…
• Fight as Irritability
Universal approaches
Condition
Narrow focus on what’s next
Apathy
Irritability

September 2007

How we can help
• Go slow;...
What does it feel like to think with HD?
We can only speculate…
…based on neuropsychology.
…based on how we feel when we t...
Living with the cognitive changes of HD…
• Finding relief…
…from this moment-to-moment struggle…
…over days, years and dec...
Hidden hope
• That’s why we have to keep trying…
• To better understand the cognitive features
• To accommodate these chan...
Current most effective treatment

September 2007

Jimmy Pollard
United States HD Alliance
I have some “cheat sheet” cards for you…

September 2007

Jimmy Pollard
United States HD Alliance
The Wisdom of Flight Attendants
See you down the road!
• I always close with this poem by a husband
caring for his wife…
• Leon Joffe of South Africa
• Ca...
Know Then

Leon Joffe

You surprise me every day
Your fighting spirit
Your vision and its ability to draw me forward with ...
Know Then

Leon Joffe

With you my perpetual fear, carried like a rock, is turned to
water
To drain away through the tunne...
Know Then

Leon Joffe

I will myself to weakness
That my strength may add to yours.
I will myself to passivity
That your a...
Thank you for having us here with you!

September 2007

Jimmy Pollard
United States HD Alliance
Jimmy pollard powerpoint presentation for hurry up and wait sept 2013
Jimmy pollard powerpoint presentation for hurry up and wait sept 2013
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Jimmy pollard powerpoint presentation for hurry up and wait sept 2013

  1. 1. Thinking About Thinking with Huntington’s Disease How it might feel… What we can do…
  2. 2. Thank you so very much! • Lowell, Massachusetts • Just north of Boston
  3. 3. Celebrated Natives
  4. 4. Especially grateful to be in Northern Ireland!
  5. 5. Before I begin… • I don’t have answers. I have some ideas, concepts and coaching that may help in your approach and solutions. • What is “support?” This is…when you’re alone helping to eat or bathe. • Any part of this may not help now, but it will most likely at some point. • At least I want to show you that there is science or organized thought about the challenges that you face.
  6. 6. Preview • • • • What it might feel like to think with HD. The characteristics of thinking with HD. We’ll do this by simulating these features. Look at how our thinking without HD is much like thinking with HD.
  7. 7. Please understand that… • There are unlimited expressions of Huntington’s Disease and they are always changing. • But there are general similarities, typical presentations and common approaches. • Some things are beyond this scope. They may be more complex, rare, acutely psychiatric or concurrent with other problems. • But somewhere in the course of Huntington’s, you’ll find them relevant.
  8. 8. If you have Huntington’s Disease…
  9. 9. You’ll need… • …a pen and paper. • We’ll do a few exercises to show you what it might feel like to think with HD. • Now’s a good time to get them. • I’ll need help with this… • I’ll be asking for some volunteers…
  10. 10. My objective • Is not to tell you what you already know. • Is to help you see it in new ways. • Is to suggest new ways to teach it to others.
  11. 11. Characteristics of Thinking with Huntington’s 1. 2. 3. 4. 5. Slower thinking Recognition is easier than recall Keeping focus is more difficult More difficult to organize, plan and sequence Can’t wait • Yes… September 2007 Jimmy Pollard United States HD Alliance
  12. 12. If you want these Powerpoint slides • Errol will e-mail them to you; please leave your name and e-mail address. • There’s a sign up sheet right here… September 2007 Jimmy Pollard United States HD Alliance
  13. 13. 1. Slower thinking: What we know • Fewer cells are working well… • …causing slower processing… • “Slower thinking” • Behavior slows • Delays in processing September 2007 Jimmy Pollard United States HD Alliance
  14. 14. 1. Slower thinking: How it feels • • • • • You need a pen and paper. When I say “Begin”… “Write your name again and again… Comfortably… Until I tell you “Stop!” September 2007 Jimmy Pollard United States HD Alliance
  15. 15. 1. Slower thinking: How it feels • Count the number of letters that you wrote. • • • • That was 15 seconds. Multiply your number by 4 to get “per minute.” How many letters per minute? Fluent writing is ________ letters per minute. September 2007 Jimmy Pollard United States HD Alliance
  16. 16. 1. Slower thinking: How it feels • • • • • Now write your name very slowly. 6 letters per minute. 1 letter every ten seconds. It looks like this. I will coach you. September 2007 Jimmy Pollard United States HD Alliance
  17. 17. Here’s mine!
  18. 18. 1. Slower thinking: How it feels • • • • • • • • Want to continue? How did that feel? Tiring? Have to concentrate? Distractions? How long could I have pushed you? The “seeds of misbehavior?” Time machine? September 2007 Jimmy Pollard United States HD Alliance
  19. 19. 1. Slower thinking: How it feels • • • • • • Exhausting…annoying…lousy…more effort What was unconscious now becomes conscious. It was automatic, now you have to pay attention to it. “My automatic pilot’s broken!” Something can be so slower that you don’t do it. “He could do it if he really wanted to!” September 2007 Jimmy Pollard United States HD Alliance
  20. 20. 1. Slower thinking: When do we see it? • • • • Delays in processing Conversations don’t flow as smoothly “That’s my Hello!” Delays can be predictable and vary over time September 2007 Jimmy Pollard United States HD Alliance
  21. 21. 1. Slower thinking: How we can help • Another story… • Interrupting slow processing may “reset the timer.” • People like me… Aaaarrgghhh! • Folks say that it’s aggravating and irritating. • Remember, no timely answer does not mean “No.” September 2007 Jimmy Pollard United States HD Alliance Illustration by shimoda7
  22. 22. 1. Slower thinking: How we can help • Simply wait. • It’s so difficult to do…for some of us. • Waiting for slower thinking… and… • Let’s jump ahead to #5…He can’t wait! • So hurry up and do for him…he can’t wait! • For us carers, it feels like… September 2007 Jimmy Pollard United States HD Alliance
  23. 23. “Hurry up and wait! Aaaarrrggghhh!!!” September 2007 Jimmy Pollard United States HD Alliance
  24. 24. And if you’re the person with HD… It feels like…
  25. 25. “Hurry up!!! What’s taking so long!?! Aarrrggghhh!” September 2007 Jimmy Pollard United States HD Alliance
  26. 26. Most seriously, though…either way…both ways… …over the years… …this is a profound act of love.
  27. 27. Reminder buttons! …for your junk drawer! September 2007 Jimmy Pollard United States HD Alliance
  28. 28. 2. Recognition is easier than recall. • Huntington’s Disease is not to be confused with Alzheimer’s Disease. • Accessing and expressing them are more difficult. • There are different kinds of memory. • Recognition • Recall
  29. 29. 2. Recognition easier than recall: How it feels • • • • • What is recall? What is recognition? They feel different. Let me show you… Draw a penny. Front? Back? Either side! September 2007 Jimmy Pollard United States HD Alliance
  30. 30. Recognition feels like this!
  31. 31. 2. Recognition easier than recall: How it feels • • • • How did recognition feel… Easier than recall? When you see it and recognize it, it feels like relief. Imagine answering every simple question with just that little bit of extra effort of recalling a penny. September 2007 Jimmy Pollard United States HD Alliance
  32. 32. 2. Recognition easier than recall: When we see it • We can see it in ourselves. • If you miss an examination in school, you ask: • “What kinds of questions were on the examination?” September 2007 Jimmy Pollard United States HD Alliance
  33. 33. 2. Recognition easier: How we can help • Ask an open question, then wait... • Ask a multiple choice question, then wait... • Ask a Yes/No question… • “When’s your doctor appointment?” or • “When’s your doctor appointment, 10:00 or 11:00?” September 2007 Jimmy Pollard United States HD Alliance
  34. 34. 3. Keeping focus is difficult: What we know • • • • “Divided attention,” doing two things at once, is difficult… People get “locked on” to a topic, they perseverate. Here’s a well known item on neuropsych tests… The “Stroop Task.” September 2007 Jimmy Pollard United States HD Alliance
  35. 35. A volunteer, please? • • • • • • Be comfortable! You can’t fail… You’re among friends! We do not want to put you under any stress. “Do we?” OK, let’s do it!
  36. 36. 3. Keeping focus is difficult: How it feels Say the colors of the word as fast as you can. September 2007 Jimmy Pollard United States HD Alliance
  37. 37. 3. Keeping focus is difficult: How it feels Say the colors of the word, not what the word says, as fast as you can. September 2007 Jimmy Pollard United States HD Alliance
  38. 38. 3. Keeping focus is difficult: How it feels • • • • • Difficult? Confusing? Did you have to lecture yourself while you did it? An unconscious effort is made conscious. Feels like… September 2007 Jimmy Pollard United States HD Alliance
  39. 39. 3. Keeping focus is difficult: When we see it • Difficulty doing two things at the same time. • More difficult to “multitask.” • Rub your belly in a circular motion… • Now… • Scratch your head. September 2007 Jimmy Pollard United States HD Alliance
  40. 40. 3. Keeping focus is difficult: How we can help • • • • • • • Go slow. Minimize distractions. One thing at a time. Obvious, Simple. Absolutely helpful. Too easy to think that they are important. September 2007 Jimmy Pollard United States HD Alliance
  41. 41. 4. Difficulty organizing, planning: What we know • Difficulty, organizing, planning and sequencing… • …both your thoughts and actions. September 2007 Jimmy Pollard United States HD Alliance
  42. 42. 4. Difficulty organizing, planning: How it feels • • • • A volunteer, please? Put on this blindfold! Please… Now let’s add a surprise! September 2007 Jimmy Pollard United States HD Alliance
  43. 43. 4. Difficulty organizing, planning: How it feels • • • • What was your plan? Did you change your plan? Adjust it? How did you feel about the surprise? HD is not a loss of vision. But the blindfold makes you become conscious of what is unconscious. • Again, the changes in thinking with HD makes the once unconscious, now conscious. • You can do it. But now you have to think about it. Now you must concentrate. • It feels _____. September 2007 Jimmy Pollard United States HD Alliance
  44. 44. 4. Difficulty organizing, planning: How it feels • It’s more difficult to plan and organize your movement. • It’s also more difficult to plan and organize your thoughts too. • Things that you can do “in your head.” • Let me show you! September 2007 Jimmy Pollard United States HD Alliance
  45. 45. 4. Difficulty organizing, planning: How it feels • One more volunteer? • We’ll do mental arithmetic. It’s something that you can do! • It involves organizing, a sequence of mental activities and creating thinking strategies in your head. • “Face the audience.” • “Count backwards from 100 by 7s.” • For those watching: • 100, 93, 86, 79, 72, 65, 58, 51, 44, 37… September 2007 Jimmy Pollard United States HD Alliance
  46. 46. 4. Difficulty organizing, planning: How it feels • • • • • How did you do that? How did it feel? We all know how it feels! We feel the same way! Try these: September 2007 Jimmy Pollard United States HD Alliance
  47. 47. Divide these numbers! 669 / 4014 623 / 17,444 248 / 43,648 1,233 / 38,223 September 2007 Jimmy Pollard United States HD Alliance
  48. 48. 4. Difficulty organizing, planning: How it feels • • • • • • • • • Do you want to do them? But are you able to do them? Can you do them fluently? It’s been a long time! It involves organizing, sequencing, doing two things at the same time. It feels aaarrggghhhh! We avoid it! We did it well. Now it’s difficult. How does it feel? We hate it! September 2007 Jimmy Pollard United States HD Alliance
  49. 49. 4. Difficulty organizing, planning: How it feels • In review: • The blindfolded strategy that pops into your head • …and “Damn!” of distraction. • The mental gymnastics of the Serial 7s. • The reaction to long division problems. • All those feelings… • All that you did unconsciously, “automatically,” now needs conscious concentration and effort. • You can do it. But… • These changes make it now feel tiring, exhausting, draining… September 2007 Jimmy Pollard United States HD Alliance
  50. 50. 4. Difficulty organizing, planning: When we see it • Calculating the tip in a restaurant. • “Now you know why it takes me two hours to shop for groceries!” • In pauses in conversations • Sending a birthday card • Dressing can become an overwhelming task. September 2007 Jimmy Pollard United States HD Alliance
  51. 51. 4. Difficult organizing, planning: How we can help • Routine! • Several KISSes: – “Keep it simple, stupid!” – “Keep it short and sweet” – “Keep it the same and simple.” September 2007 Jimmy Pollard United States HD Alliance
  52. 52. 5. Can’t wait! What we know • • • • • Impulse control is a problem. Lack of inhibition is a problem. “Jim, you got a haircut!” Sense of time seems altered. He gets locked onto a topic…over and over and over… September 2007 Jimmy Pollard United States HD Alliance
  53. 53. 5. Can’t wait! When we see it • If you have Huntington’s Disease, you often ask, “What’s taking so long?” • “When someone with Huntington’s Disease wants something, they want it ________!!!” • “It seems that people with HD just can’t ______!!!” • Isn’t this behavior predictable? September 2007 Jimmy Pollard United States HD Alliance
  54. 54. Now let’s review these five characteristics… • First, slower thinking feels like… • The fatigue and discomfort of writing slowly? • “Is anything fun when you’re tired?” • The concentration it required? • Having to consciously focus on it? • Not wanting to continue? September 2007 Jimmy Pollard United States HD Alliance
  55. 55. Let’s review all the characteristics… • Then the easier feel of recognition… • …and how it might feel to live every day having to use that little bit of extra effort to answer the 100s of questions you’re asked in the course of a single day? September 2007 Jimmy Pollard United States HD Alliance
  56. 56. Let’s review the characteristics… • Then how it’s more difficult to stay focused in the face of distractions… • How difficult it can be to have to switch back and forth in your head? September 2007 Jimmy Pollard United States HD Alliance
  57. 57. Let’s review the characteristics… • As well as the difficulty to organize, plan and sequence both your thoughts and actions when… • Once easy things need as much conscious planning as when you’re blindfolded? • Having to think hard or all over again after a surprise? • And once easy things took as much thinking as counting backwards by 7s? • If everyday problems felt like having to actually do those long division problems? September 2007 Jimmy Pollard United States HD Alliance
  58. 58. Let’s review the characteristics… • Take all the ways we without HD feel when we simulate these things… • Layer them one on top of another… • Only magnified by Huntington’s • …and everpresent…every moment.. • And on top of it all…you can’t wait! • Could you endure… • …with grace… • ..waiting for anything… • …or everything you want? September 2007 Jimmy Pollard United States HD Alliance
  59. 59. Let’s review the characteristics… • Or might it feel like?
  60. 60. Might you feel like? Scream (Skrik) Edvard Munch, 1893 Norway
  61. 61. These characteristics cause conditions Characteristics cause… • Slower thinking • Recognition is easier than recall • More difficult to change topics • Difficulty organizing and planning • Can’t wait September 2007 …Conditions • A narrow focus on what’s next • Apathy • Irritability Jimmy Pollard United States HD Alliance
  62. 62. A Narrow Focus on What’s Next “In dealing with my daughter, I can see where this moment is the only one that is important one to her right now! Today when we were on our weekly visit to our favorite restaurant, I told (her) the wonderful news that her young son has just signed up for a college course! It was a great step for him and he gets a $3,000. raise when he passes the test. She didn't grasp the importance of it. No matter what I said it just did not matter. She was more interested in getting the cover off her Coke. I am constantly reminded that her thinking has changed. This is something that is easy to forget.” Ruth Hargrave, NC April, 2002 September 2007 Jimmy Pollard United States HD Alliance
  63. 63. Condition: Narrow focus on what’s next • • • • • Might we not, through our behavior, be saying… So much information…too much information!!! Like fighting off overload… From all the characteristics… “OK, just one thing at a time. Please! September 2007 Jimmy Pollard United States HD Alliance
  64. 64. Condition: Irritability • Changes in the brain impair controlling or modulating: • Impulses to do things • Expressions of emotion, often anger. September 2007 Jimmy Pollard United States HD Alliance
  65. 65. Condition: Apathy • Absence of emotion, passion or excitement… • …especially things that once interested them. • Lack of interest or concern for things that others find exciting. September 2007 Jimmy Pollard United States HD Alliance
  66. 66. The Stress Response… • Fight or flight? • You might think of Flight as Apathy and… • Fight as Irritability
  67. 67. Universal approaches Condition Narrow focus on what’s next Apathy Irritability September 2007 How we can help • Go slow; one at a time. • Respond timely; wait. • Say what’s next. • Ask multiple choice questions. • Routine in your day. • No surprises! • Anticipate to prevent problems. Jimmy Pollard United States HD Alliance
  68. 68. What does it feel like to think with HD? We can only speculate… …based on neuropsychology. …based on how we feel when we try to imitate or simulate it. …reports from people with HD. …comments about this from people with HD. September 2007 Jimmy Pollard United States HD Alliance
  69. 69. Living with the cognitive changes of HD… • Finding relief… …from this moment-to-moment struggle… …over days, years and decades… …is the primary challenge of living with Huntington’s Disease. • Understanding these changes in thinking… …and changing how we live… …and how we communicate… …will impact their struggle… …a profound act of love. September 2007 Jimmy Pollard United States HD Alliance
  70. 70. Hidden hope • That’s why we have to keep trying… • To better understand the cognitive features • To accommodate these changes by changing our own behavior. • We wait and hope for a cure for HD. • Until then… September 2007 Jimmy Pollard United States HD Alliance
  71. 71. Current most effective treatment September 2007 Jimmy Pollard United States HD Alliance
  72. 72. I have some “cheat sheet” cards for you… September 2007 Jimmy Pollard United States HD Alliance
  73. 73. The Wisdom of Flight Attendants
  74. 74. See you down the road! • I always close with this poem by a husband caring for his wife… • Leon Joffe of South Africa • Caring for Pitta • “Know Then” Jimmy Pollard United States HD Alliance
  75. 75. Know Then Leon Joffe You surprise me every day Your fighting spirit Your vision and its ability to draw me forward with you Your loveliness even as you plunge through the hard core of the future You achieve what others dare not even dream about You know no barriers to the universe You are my dreamer, my leader With you I am greater than myself. September 2007 Jimmy Pollard United States HD Alliance
  76. 76. Know Then Leon Joffe With you my perpetual fear, carried like a rock, is turned to water To drain away through the tunnel of your laughter and courage. This day we face together another challenge; I here too distant to do more than love you. September 2007 Jimmy Pollard United States HD Alliance
  77. 77. Know Then Leon Joffe I will myself to weakness That my strength may add to yours. I will myself to passivity That your actions may shame and humble all like me. Know then how much I admire you; And much more than that Love you September 2007 Jimmy Pollard United States HD Alliance
  78. 78. Thank you for having us here with you! September 2007 Jimmy Pollard United States HD Alliance

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