By Tim Stevens
These records are being released in accordance with client’s request, made via signed and notarized documents.
Margaret “Peggy” Carter presents as an adult female of advanced years. Her mobility is limited, but not in any way that is inconsistent with someone of her age and previous injuries. As of the composition of this note, the client is living at the Larkmoore Clinic in the Memory Care unit where 24-hour care is available.
As one might expect, given her living situation, the client demonstrates symptoms of memory loss and dementia. She sometimes has difficulty recalling where she is and, while she can recognize them enough not to be worried, struggles to identify key people in her life when they come to visit her. Although this writer did not witness it, staff has reported that she sometimes seems to believe herself to be in another place or time and may even experience visual hallucinations.
Fortunately, at this juncture, the client’s processing and decision making functioning seem to be largely unaffected. She is quite capable of holding conversations, solving math equations, and performing her Activities of Daily Living (ADLs), such as hygiene and dressing herself. Additionally, she remains able to weigh the pros and cons of situations and make healthy, safe, non-impulsive choices.
Finally, her personality appears to be intact. Guests have reported her as having a similar disposition to her pre-memory loss state. Her emotions seem to be largely reflective of this and remain appropriate, with no evidence of severe depression or mood swings.
During the times when she is able to access some of her memories, Carter tells stories of World War II, her relationship—first romantic and then one of friendship—with Captain America, her pride in her niece, Sharon Carter, and some of her experiences with S.H.I.E.L.D. and the Avengers. There is some indication of Posttraumatic Stress Disorder or symptoms in her past, especially during recovery from a combat injury, but they seem long since resolved.
It is difficult to determine what the cause or causes of these symptoms are. She may be experiencing them for the same still not entirely known reasons many people of her age do. However, she has also, throughout her life, experienced a Traumatic Brain Injury (TBI) resulting in short-term amnesia and been a patient/victim of Doctor Faustus. It is impossible to rule these out as contributing to her current condition.
This writer is ordering an fMRI and CAT scan to ensure the accuracy of diagnosis and assumptions of cause. However, if it is as hypothesized, there is little to be done for her to reverse her current trajectory. The staff will strive to retard any further loss of memory but, inevitably, it will continue. At a certain point, the focus will have to be on the comfort of the client and maintaining her dignity as the disease progressing.
As stipulated above, these records are being released as requested by Margaret Carter in the event of her death. She made these arrangements prior to the signs of memory loss. This note was the last done by this writer before the client’s passing. Information on the funeral service, where to send flowers and/or charitable donations, and her final resting place will be available on July 13 via CAPTAIN AMERICA #1, as prepared by Doctors Ed Brubaker and Steve McNiven. Some details of her life will also be revealed by the Captain America biopic “Captain America: The First Avenger,” due in theaters on July 22.
Psy D. Candidate Tim Stevens, MA is a Practicum Trainee at a Federal Correctional Institute and a Dialectical Behavior Therapy Consultant.