“You’re Looking At Me Like I Live Here and I Don’t”: Making a Film in an Alzheimer’s Unit

Our guest blogger is Scott Kirschenbaum, a filmmaker based in San Francisco, CA. His documentary “You’re Looking At Me Like I Live Here And I Don’t,” will premiere nationally on PBS’ Independent Lens on Thursday, March 29, 2012.

In the fall of 2008, I wrote a screenplay I intended to film entirely in an Alzheimer’s Unit.  After many weeks of rehearsals, I arrived at a troubling realization: I was not just making a challenging film—I was making the wrong film.

Writing a fictional Alzheimer’s narrative—creating a neat and orderly plot whose course I could control, from a disease by nature chaotic and nonlinear—was impossible.  In the way that a son or daughter doesn’t know exactly what to expect during a visit with a parent who has Alzheimer’s, it’s inconceivable (some might even say ridiculous) for a screenwriter to map out the trajectory of a scene in an Alzheimer’s Unit, and expect it to play itself out in a manner remotely resembling what was written.

Other than the loose structure provided by a schedule of daily activities— a parachute toss, the hair salon, an oldies sing-a-long—life in an Alzheimer’s Unit does not follow the logic of the real world. It is founded upon the incidental and accidental; a string of interactions and experiences that digress unpredictably, omni-directionally, and constantly turn back on themselves. The Alzheimer’s Unit almost never adheres to the continuity of the linear narratives that we enjoy on a daily basis—or that screenplays require.

The first time I visited the Traditions Alzheimer’s Unit in Danville, California, I was greeted at the door by Lee Gorewitz, a spry septuagenarian in a baby blue jogging suit. 

Lee Gorewitz applying lipstick

With the exuberance of a cruise director, Lee presented herself as a staff member, took my hand and gave me a tour, during which she delivered a soliloquy unlike anything I had ever heard before: for well over a minute she prattled on about purses, windows, and gardens, before she eventually locked eyes with me and said: “I hear the song in my ears, and I think they don’t love me anymore.”

From this spontaneous word-salad came two things that forever altered my film project; I realized Lee was not staff, but a resident.  And, I decided, her presence in the Unit was reason enough to throw away that screenplay; I’d just written.

For the next six months I visited Lee with the hope of making a documentary that would capture her inner universe: the discord and frustration, the communication breakdown and uninhibited behavior everyone speaks of when they speak of Alzheimer’s—and, the unusually poetic candor it can distill. Reflecting on her birthplace, Lee would say, “Brooklyn, its right behind you.” Considering love: “That’s a damn good thing to work with,” and regarding her deceased husband: “How do I even say it? The air — was very good.”

        Lee with a family photo

Like many in an Alzheimer’s Unit, for Lee every day is an odyssey: wandering to and fro with no destination in particular, on a quest for something that she can neither articulate nor comprehend. Having advanced Alzheimer’s was once described to me by a neuroscientist as akin to waking up in the middle of hinterland Russia, alone, not knowing a lick of the local language, not knowing how you got there, and being expected to act like it was home.

Due to that constant sense of disorientation, in the span of minutes Lee could morph from pensive thinker, to gregarious helper; from bubbly mover-and-shaker, to morose and sometimes cruel instigator. When in good spirits, she consoled heartbroken women, kissed caregivers, and shook a tail feather even after the music had stopped.  And with no realistic option for leaving, Lee also gave in to frustration: she argued with her tablemate at lunch, kicked a bouncy ball at a frail man’s legs, and unapologetically told a sickly woman that she is going to die.

My time with Lee, and her struggle, left me utterly confounded. Who should say Lee’s fragmented reality is any less valid than my own?

Composer John Cage once wrote, “The first question I ask myself when something doesn’t seem to be beautiful is why do I think it’s not beautiful. And very shortly you discover that there is no reason.” A shift happened for me when I started to embrace the sublime chaos of Lee’s world.  Spending time with her became not about remorsing on what will never be; her past (most of which she cannot remember)—nor was it about analyzing the tragedy of her plight.  It became about letting Lee tell her own story, one unfolding in the context of a cruel, debilitating disease. And it became about learning that there was no reason not to let that story seem beautiful.

In ways that are often painful and intense to the rest of us, Lee and others with Alzheimer’s stumble along a road we’re all traveling, trying—often desperately—to communicate something, anything, grasping for unanswerable riddles.

And until there’s a cure for Alzheimer’s, there’s one way, outside of medicine, to counter this disease, which we all have within our reach, whatever the road, whatever our relative agility at traversing it.

Empathy.

3 comments to “You’re Looking At Me Like I Live Here and I Don’t”: Making a Film in an Alzheimer’s Unit

  • Zenobia Middleton Skinner

    My daughter forward me the website. As I read the first paragraph I smiled. My husband has Alz. Today he didn’t go to Adult Day Care because he was wandering so much he couldn’t take a shower or get dressed. So I let him wander the house while I went about my chores. Sometimes he makes sense and sometimes he doesn’t. Sometimes you want to laugh and sometimes you just cry. It is our life together now. God knows all things.

  • Rudolph Aukschun

    I was trying to reach Scott Kirschenbaum the film maker of “You’re Looking At Me…” I make public access programs and wanted to find how Scott solved some problems:

    1. I read that this program was filmed. Would it not have been more practical to use video cameras to keep down costs?

    2. I gather that all recognizable persons had someone give (written??) permission to be included in the broadcast. Who signs for the disabled person and how practically do you get such permission knowing that the filmed person might be viewed in an unpredictable state?

    3. Were any of the persons miked? I gather that Lee was at some times. What percentage of shots were miked on the persons and what percentage were not?
    4. Likely, some scenes were not appropriate for broadcast, Did the film maker use his own judgement to exclude some scenes or did some other editing staff make a decision as to what to include? What criteria applies?

    I really liked the film, I like Lee who dominates every scene with her presence. I felt that the decisions as to what to show were made with good judgement. Obviously a lot of time and effort was involved and it was a success.

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