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A Presentation by Michael A. Horvich
Alzheimer's Association of Minnesota-North Dakota and the MAYO Clinic
March 2, 2019
By Michael Horvich


Good morning. My name is Michael and the story I am about to share with you is a very personal one. I’m comfortable with crying in front of you, however it is very difficult to cry … and talk at the same time.

So, if I get choked up, I will pause, take a few deep breaths, and be right back, probably before you even notice I have gone.

GREGORY, my husband of over 41 years, was diagnosed with DEMENTIA, most likely ALZHEIMER’S, in the 29th year of our relationship. He was 55 years old. Together, we were on the Dementia Journey for 12 years.

Let me say that I am NOT here today as an EXPERT in the field of Dementia and Alzheimer’s … but rather as someone who has EXPERIENCED it … DIRECTLY, INTENSELY.


Let me tell you a little about me …

I hold a Bachelor’s Degree in Liberal Arts, an Master’s Degree in Education, and an Advanced Certificate in Education Administration and Supervision.

I am an educator, have worked with children in regular education as well as children with special needs.

I was an administrator for a Talented and Gifted Education Program, taught Junior High Spanish.

I have taught a number of university level education courses and seminars.

I have been retired for 20+ years but have been more than active as an educator, speaker, writer, poet, blogger, actor, opera supernumerary, children’s museum curator, flea circus ringmaster, and Dementia /Alzheimer’s caregiver partner.


GREGORY earned a Bachelor’s Degree from Wesleyan University in Connecticut & received his Master’s Degree from Harvard University in Architecture, with Phi Beta Kappa recognition.

He ran his own high end architecture and interior design firm and served as architect of record for renovations at the Baha’i National Shrine in a suburb of Chicago, Wilmette, Il.

Gregory was a writer, an artist, was well versed in music and art history, was a concert level pianist, spoke French, and won many awards for his architecture and interior design skills.


Gregory was NOT a VICTIM of Alzheimer’s ... but rather a HERO.

Gregory did not SUFFER with DEMENTIA/ ALZHEIMER’S, but rather LIVED as WELL as possible, refusing to accept the diagnosis as a “DEATH SENTENCE.”

I NEVER referred to the diagnosis as HIS but always OUR diagnosis.

Actually, we were relieved on receiving the diagnosis because now we had an idea of what we had been experiencing & and we could prepare for the future … although at the time we did not really understand the nature of the roller coaster ride we would be on until his death.


The DOCTORS were able to RULE OUT what was NOT going on for example Vitamin B deficiency, small strokes, Parkinson’s, etc.

But being a PROGRESSIVE, INCURABLE disease, what were they REALLY able to do during those EARLY and MIDDLE stages except confirm my existing observations?

They prescribed drugs like ARICEPT and NAMENDA, which are purported to slow down the disease, but how does one measure … “SLOW DOWN” and against what baseline?


Instead of spending time MEDICALIZING our experience, I worked very hard creating a NEW SENSE OF FAMILY, HOME, and RELATIONSHIP to fit Gregory’s changing needs.

For the most part he dealt with the disease in his usual CALM manner. At a certain point later, the Alzheimer’s created a BUFFER which kept him from being fully aware of the changes through which he was going.


In the beginning, I REFUSED to refer to myself as Gregory’s CAREGIVER … out of RESPECT for not wanting to diminish him to the role of being my “PATIENT.”

I remember thinking “If the disease would only stop progressing at this point I would be content.”

But PROGRESS it did … and the RESTING, level periods were shorter and the need to re-think and re-establish NORMALCY continued …sometimes on a daily basis…sometimes hourly.


Being able to monitor and provide for Gregory’s increasing needs, in a RESPECTFUL understanding way, yet not letting him become overly frustrated was more and more difficult.

My ROLE in providing for our life experiences continued to INCREASE over time.

My MAIN JOB became making sure Gregory knew WHO he was and WHERE he was. That he was in the RIGHT PLACE doing the RIGHT THING at the RIGHT TIME.

And if LOST; physically or emotionally, that I / we would ALWAYS FIND each other.

He always KNEW who I was, his LOVE for me and my PLACE in his life. He knew he could TRUST me, that he was SAFE, LOVED, VALUED, and RESPECTED.


The times were not easy, but we persevered and did a good job! I was able to su