West Nile Neurological Disease - Part 6 - The Face of Our Pirates

Medical experts now label West Nile neurologicalmay never regain his former health and strength. His
disease an acquired brain injury. I label it "the pirates".fight to regain his health has become my fight, his
The virus boarded the little boat of our lives suddenlyloss mine, though from a different angle. We're
on a summer day. It pillaged my husband, Rick, whilemaking parallel journeys through West Nile.
he went about his normal business as a clergyman.From this day forward I could have said, on the day
One little mosquito bite, and he never even noticed.the mosquito bit my husband--if we remembered the
One little mosquito bite, and he'll never be the same.actual bite, and we don't--from this day forward our
After being institutionalized in hospital and rehabmarriage will take on a different accent.
center for six months, he returned home. A walkingFor thirty-one years, he hefted most of our loads.
miracle, many call him, even if he does still rely on aFrom our first vacation together he lugged around
walker. We're grateful for the strength he has gainedour luggage. Both his arms had carried our children,
after his three-limb paralysis.toted in our groceries, heavy bags of pet food and
But his former physical strength and mobility wasn't allcat litter, peat moss, topsoil, and softener salt. Not to
he lost to the pirates.mention our printer paper--over the years the likely
Though he looks perfectly normal to many,equivalent of mountain ranges of old growth forest.
encephalitis (a particularly wicked thrust on thePrior to the pirates, on every move back and forth
pirates' part) stole some of his short term memory,across the country, I packed the boxes, but he
including his once almost-perfect ability to recalltransferred them--and everything else--to and fro
situations, comments, and details. "Gee, Honey, I missfrom the moving truck, up and down stairs, in and
your marbles," I said to him one day. "Not half asout of our homes.
much as I do," he responded fervently.Once settled, he shoved around the heaviest
It also renders him prone to regular periods of whatfurniture whenever I decided it had made enough
he calls "shutdown', when he sits, motionless, eyesmileage that year. Shoveled our snow. Mowed our
wide. I call that place to which he retreats hislawn. Dug our gardens (few and feeble). Carried out
"encepha-cave". When it happens, he is unresponsivethe garbage. Not exclusively, but he did a significant
except for monosyllables, and unable to make simpleamount of all those things.
choices. Excess stimuli causes that. Too many smallHis paralysis--poliomyelitis--one of the complications
children nearby. Loud music. Too many people talkingthat can result from Neurological West Nile--changed
at once.all that. Though more mobile now, his strength is only
The results of the few studies that have been donea portion of what it was. He still topples easily, and
on North American West Nile sufferers indicate thathis left arm remains paralyzed from the elbow to the
Post-West Nile fatigue and weakness is bothshoulder. His therapists warned us that total function
recurring and ongoing. That's consistent with Rick'smay never return. Almost three years later, it hasn't.
condition. Even after almost three years, our future isWe've also read that the disease will likely shorten his
uncertain. (But is it certain any of us?) Though he stilllifespan by about fifteen years.
speaks regularly to crowds, talking about his faithThese are only some of the complications of a
journey down West Nile, and raising awareness ofdisease still new in North America--the first case was
the disease, he has not been able to return todiagnosed in New York in 1999. These are our
full-time ministry.pirates--they could be yours too.
We are immensely grateful that Rick escaped withIf you live in areas of West Nile carrying
his life, but nothing could have prepared us for themosquitoes...we beg you. Take precautions. Where
magnitude of WNND-generated losses.possible, eliminate standing water. And most
The scant studies that have been done on patientsimportant...wear repellent.
affected with neurological West Nile indicate that he